FORM 1023-EZ for SAFELY BACK HOME
| Field | Data |
|---|---|
| EIN | 81-5474296 |
| Case Number | EO-2020111-000188 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SAFELY BACK HOME |
| Organization’s Mailing Address | 37 MAIN STREET |
| City | SPARTA |
| State | NJ |
| ZIP | 07871 |
| Accounting period End | 12 |
| Primary contact name | PAUL JETTER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PAUL JETTER
EXECUTIVE DIRECTOR
8 HILLTOP ROAD
NEWTON NJ 07860
Officer/Director/Trustee Two
JAMES THEBERY
TRUSTEE
271 WILLIAMS AVENUE
HASBRUCK HEIGHTS NJ 07604
Officer/Director/Trustee Three
NEIL MOSKOWITZ
TRUSTEE
32 LENOX ROAD
SUMMIT NJ 07901
Officer/Director/Trustee Four
STEVEN STEIN
TRUSTEE
114 OLD BLOOMFIELD AVENUE
PARSIPPANY NJ 07054
| Organization’s website | SAFELYBACKHOME.ORG |
|---|---|
| Organization’s email | PJETTER@SAFELYBACKHOME.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/24/2017 |
| Organization Incorporation State | NJ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | M23 - Search and Rescue Squads, Services |
| 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 | 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 | PAUL JETTER |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 4/16/2020 |
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