FORM 1023-EZ for HOIME SAFE HOME INC

Field Data
EIN 82-3772060
Case Number EO-2018017-000152
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOIME SAFE HOME INC
Organization’s Mailing Address 1449 GRANADA PLACE
City FAR ROCKAWAY
State NY
ZIP 11691
Accounting period End 12
Primary contact name DAVIED VAN DER VELDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOVIED ZWI VAN DER VELDE
PRESIDENT
1449 GRANADA PLACE
FAR ROCKAWAY NY 11691

Officer/Director/Trustee Two

TAMAR VAN DER VELDE
SECRETARRY
1449 GRANADA PLACE
FAR ROCKAWAY NY 11691

Officer/Director/Trustee Three

ELISEHVA VAN DER VELDE
BOARD MEMBER
1449 GRANADA PLACE
FAR ROCKAWAY NY 11691

Organization’s website
Organization’s email HOMESAFEHOME613@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 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 DOVIED ZWI VAN DER VELDE
Signature Title PRESIDENT
Signature Date 1/12/18

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