FORM 1023-EZ for SAFE HAVEN FOR THE YOUTH INC
| Field | Data |
|---|---|
| EIN | 82-4075339 |
| Case Number | EO-2020028-000204 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAFE HAVEN FOR THE YOUTH INC |
| Organization’s Mailing Address | 1918 HARMONY TRACE |
| City | LITHONIA |
| State | GA |
| ZIP | 30058 |
| Accounting period End | 12 |
| Primary contact name | LATASHA CLAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LATASHA CLAY
CEO
612 HICKORY HIGHLAND DR
ANTIOCH TN 37013
Officer/Director/Trustee Two
OSCARETTA CAMPBELL
SECRETARY
318 CEDAR PARK CR
LAVERGNE TN 37086
Officer/Director/Trustee Three
RENICA CLAY
TREASURER
185 CLIFTWOOD DR NE
SANDY SPRINGS GA 30328
| Organization’s website | |
|---|---|
| Organization’s email | SAFEHAVENFORTHEYOUTHINC@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/24/2018 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L80 - Housing Support Services -- Other |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | LATASHA CLAY |
| Signature Title | CEO |
| Signature Date | 1/24/2020 |
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