FORM 1023-EZ for INFANTS SAFE HAVEN INC

Field Data
EIN 84-4639153
Case Number EO-2020253-000066
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INFANTS SAFE HAVEN INC
Organization’s Mailing Address 45074 10TH ST WEST UNIT 101/B
City LANCASTER
State CA
ZIP 93534
Accounting period End 11
Primary contact name CYNTHIA TAYOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA TAYLOR
CEO
45074 10TH ST WEST UNIT 101/B
LANCASTER CA 93534

Officer/Director/Trustee Two

DONALD FEAGIN
CFO
44834 GADSEN AVENUE
LANCASTER CA 93534

Officer/Director/Trustee Three

MILDRED PRYOR
SECRETARY
3337 EAST AVENUE K6
LANCASTER CA 93534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/6/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 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 CYNTHIA TAYLOR
Signature Title CEO
Signature Date 9/7/2020

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