FORM 1023-EZ for IMANIS SAFEHOUSE INC

Field Data
EIN 85-2829974
Case Number EO-2021028-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name IMANIS SAFEHOUSE INC
Organization’s Mailing Address 1422 BEVERLEY RD
City BROOKLYN
State NY
ZIP 11226
Accounting period End 12
Primary contact name CINDY GORN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER FECU
EXECUTIVE DIRECTOR
1365 W 7TH STREET APT 3F
BROOKLYN NY 11204

Officer/Director/Trustee Two

CINDY GORN
SECRETARY
1422 BEVERLEY RD
BROOKLYN NY 11226

Officer/Director/Trustee Three

LAWRENCE BARTLEY
PRESIDENT
209-45 112TH AVENUE
QUEENS VILLAGE NY 11429

Officer/Director/Trustee Four

CHRISTOPHER MOORE
TREASURER
1422 BEVERLEY RD
BROOKLYN NY 11226

Organization’s website HTTP://WWW.IMANISSAFEHOUSE.COM
Organization’s email IMANISSAFEHOUSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2020
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAWRENCE BARTLEY
Signature Title PRESIDENT
Signature Date 12/2/2020

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