FORM 1023-EZ for LUBELLA JOY SAFEHAVEN

Field Data
EIN 82-2715233
Case Number EO-2019221-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUBELLA JOY SAFEHAVEN
Organization’s Mailing Address 1978 ROAN DR
City LANCASTER
State TX
ZIP 75134
Accounting period End 12
Primary contact name DOMINIQUE ALEXANDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL DOSS
DIRECTOR
1378
LANCASTER TX 75134

Officer/Director/Trustee Two

STEPHANIE MARTIN
DIRECTOR
3812 E CLYDE
OKLAHOMA CITY OK 73121

Officer/Director/Trustee Three

DEMETRIA STEVENSON
DIRECTOR
417 S HEIGHT
MAGNOLIA AR 71753

Officer/Director/Trustee Four

DOMINIQUE ALEXANDER
DIRECTOR
2512 EAST OVERTON ROAD
DALLAS TX 75216

Officer/Director/Trustee Five

ANDRECIA HOWARD
DIRECTOR
3428 SUNNYVALE
DALLAS TX 75216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/2/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I70 - Protection Against, Prevention of Neglect, Abuse, Exploitation
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 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 DOMINIQUE ALEXANDER
Signature Title DIRECTOR
Signature Date 8/7/19

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