FORM 1023-EZ for ARTHUR OWENS SAFE HARBOR

Field Data
EIN 86-1502819
Case Number EO-2021123-000398
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARTHUR OWENS SAFE HARBOR
Organization’s Mailing Address 10303 NORTHWEST FWY STE 508
City HOUSTON
State TX
ZIP 77092
Accounting period End 12
Primary contact name RON DRAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONIQUE DAVIS
CEO & DIRECTOR
28337 STERLING OAK DRIVE
SPRING TX 77386

Officer/Director/Trustee Two

FRANCINE WESLEY
TREASURER
10303 NW FREEWAY SUITE 508
HOUSTON TX 77092

Officer/Director/Trustee Three

HORACE SMITH
SECRETARY
10303 NW FREEWAY SUITE 508
HOUSTON TX 77092

Officer/Director/Trustee Four

MONICA HARRIS
TRUSTEE
2319 W 109TH STREET
INGLEWOOD CA 90303

Officer/Director/Trustee Five

MARYLAND OWENS
PRESIDENT
10303 NORTHWEST FWY
HOUSTON TX 77092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARYLAND OWENS
Signature Title PRESIDENT
Signature Date 4/30/2021

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