FORM 1023-EZ for SAFE NOW FOUNDATION INC

Field Data
EIN 83-1914606
Case Number EO-2019036-001067
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE NOW FOUNDATION INC
Organization’s Mailing Address 1010 SOUTH WEINBACH AVENUE
City EVANSVILLE
State IN
ZIP 47714-2934
Accounting period End 12
Primary contact name MICHAEL HAGEDORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL HAGEDORN
BOARD PRESIDENT
5618 JEFFERSON AVENUE
EVANSVILLE IN 47715-5018

Officer/Director/Trustee Two

LESLIE HAGEDORN
BOARD MEMBER
5618 JEFFERSON AVENUE
EVANSVILLE IN 47715-5018

Officer/Director/Trustee Three

MARIE JOHNSON
BOARD MEMBER
1127 LODGE AVENUE
EVANSVILLE IN 47714-2802

Officer/Director/Trustee Four

PHILLIP BOYD
TREASURER
500 EAST WALNUT
EVANSVILLE IN 47713-2438

Officer/Director/Trustee Five

JORDAN MILBY
SECRETARY
816 TRIPLETT STREET
OWENSBORO KY 42303-3563

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/18
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 MICHAEL HAGEDORN
Signature Title BOARD PRESIDENT
Signature Date 1/22/19

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