FORM 1023-EZ for GIOVANNIS SAFE HAVEN

Field Data
EIN 82-1271813
Case Number EO-2018045-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIOVANNIS SAFE HAVEN
Organization’s Mailing Address 37 CHAPEL STREET
City WATERBURY
State CT
ZIP 6704
Accounting period End 12
Primary contact name BRENDA VAZQUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA VAZQUEZ
PRESIDENT
37 CHAPEL STREET
WATERBURY CT 6704

Officer/Director/Trustee Two

DAISY HERNANDEZ
TREASURER
37 CHAPEL STREET
WATERBURY CT 6704

Officer/Director/Trustee Three

MARITZA PATRY
SECRETARY
37 CHAPEL STREET
WATERBURY CT 6704

Organization’s website GIOVANNISSAFEHAVEN.ORG
Organization’s email VAZQUEZ@GIOVANNISSAFEHAVEN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/17
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
Organization’s purpose Charitable: Yes
Religious: No
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 BRENDA VAZQUEZ
Signature Title PRESIDENT
Signature Date 2/12/18

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