FORM 1023-EZ for SAFE HOUSE ANIMAL RESCUE AND SANCTUARY INC

Field Data
EIN 85-0901002
Case Number EO-2020129-000171
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HOUSE ANIMAL RESCUE AND SANCTUARY INC
Organization’s Mailing Address 391 RIDGEWOOD RD
City WESTWOOD
State NJ
ZIP 07675-5045
Accounting period End 12
Primary contact name DANA LYNCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA LYNCH
TRUSTEE PRESIDENT TREASURER
391 RIDGEWOOD RD
WESTWOOD NJ 07675-5045

Officer/Director/Trustee Two

KATIE GIBSON
TRUSTEE VICE PRESIDENT
211 RIVER DR
LAKE HIAWATHA NJ 07034-1927

Officer/Director/Trustee Three

CHRISTINE VOLLKOMMER
TRUSTEE SECRETARY
251 WALTHERY AVE
RIDGEWOOD NJ 07450-2816

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANA LYNCH
Signature Title TRUSTEE PRESIDENT TREASURER
Signature Date 5/6/2020

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