FORM 1023-EZ for SAFE HAVEN MINISTRIES INC

Field Data
EIN 85-2084586
Case Number EO-2020210-000857
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HAVEN MINISTRIES INC
Organization’s Mailing Address 57 BARTER HILL RD
City CUMBERLAND
State VA
ZIP 23040-2302
Accounting period End 6
Primary contact name WAYNE SHEFFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN NORTON
DIRECTOR
200 POPLAR FOREST DR APT H
FARMVILLE VA 23901-4503

Officer/Director/Trustee Two

CHARLES DERRINGER
DIRECTOR
4612 PATRICK HENRY HWY
MEHERRIN VA 23954-5016

Officer/Director/Trustee Three

VIRGINIA DERRINGER
DIRECTOR
4612 PATRICK HENRY HWY
MEHERRIN VA 23954-5016

Officer/Director/Trustee Four

KAREN SHEFFIELD
DIRECTOR
57 BARTER HILL RD
CUMBERLAND VA 23040-2302

Officer/Director/Trustee Five

WAYNE SHEFFIELD
DIRECTOR
57 BARTER HILL RD
CUMBERLAND VA 23040-2302

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WAYNE SHEFFIELD
Signature Title DIRECTOR
Signature Date 7/26/2020

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