FORM 1023-EZ for CHRISTIAN SAFE HAVEN

Field Data
EIN 85-1251433
Case Number EO-2020155-000280
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHRISTIAN SAFE HAVEN
Organization’s Mailing Address 5452 SOUTH SAN PEDRO ST
City Los Angeles
State CA
ZIP 77433-1151
Accounting period End 12
Primary contact name BRANDON MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON MACK
FOUNDER/ BOARD MEMBER
545 S SAN PEDRO ST
LOS ANGELES CA 90013-2101

Officer/Director/Trustee Two

MARK JOHNSON
BOARD MEMBER
545 S SAN PEDRO ST
LOS ANGELES CA 90013-2101

Officer/Director/Trustee Three

ANTHONY DOSWELL
BOARD MEMBER
545 S SAN PEDRO ST
LOS ANGELES CA 90013-2101

Organization’s website
Organization’s email MACK3825@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 BRANDON MACK
Signature Title FOUNDER/ BOARD MEMBER
Signature Date 6/1/2020

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