FORM 1023-EZ for SKY HEIGHTS SAFE HAVEN

Field Data
EIN 85-2483873
Case Number EO-2020227-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SKY HEIGHTS SAFE HAVEN
Organization’s Mailing Address 1421 DUNCAN DRIVE
City MESQUITE
State TX
ZIP 75149
Accounting period End 12
Primary contact name DESTINY GUILLORY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DESTINY GUILLORY
DIRECTOR
7545 E NORTHWEST HWY APT 251
DALLAS TX 75238

Officer/Director/Trustee Two

KATHRENE WARD
DIRECTOR
1421 DUNCAN DRIVE
MESQUITE TX 75149

Officer/Director/Trustee Three

KASSANI JOHNSON
DIRECTOR
2125 HIGHWOOD ST
MESQUITE TX 75181

Officer/Director/Trustee Four

TIA WARD
DIRECTOR
2125 HIGHWOOD ST
MESQUITE TX 75181

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 DESTINY GUILLORY
Signature Title DIRECTOR
Signature Date 8/12/2020

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