FORM 1023-EZ for GOD S SAFE HAVEN INC

Field Data
EIN 83-1315555
Case Number EO-2018221-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOD S SAFE HAVEN INC
Organization’s Mailing Address 2964 HAMPTON CLUB WAY
City BRONX
State NY
ZIP 10466
Accounting period End 12
Primary contact name LATASHA L GRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LA TASHA LILLIAN GRANT
PRESIDENT/TREASURER
2964 HAMPTON CLUB WAY
LITHONIA GA 30038

Officer/Director/Trustee Two

RICHARD GRANT
VICE PRESIDENT/ SECRETARY
2964 HAMPTON CLUB WAY
LITHONIA GA 30038

Officer/Director/Trustee Three

MYISHA ROBLEDO
DIRCTOR
79 EISENHOWER DRIVE
MIDDLETOWN NY 10940

Officer/Director/Trustee Four

MARVIA GRANT
DIRECTOR
1939 NEREID AVENUE
BRONX NY 10466

Officer/Director/Trustee Five

ANGELO J MILONE CPA
DIRECTOR
819 MC LEAN AVE
YONKERS NY 10704

Organization’s website NONE
Organization’s email LGAMBLE7@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LA TASHA LILLIAN GRANT
Signature Title PRESIDENT/TREASURER
Signature Date 8/7/18

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