FORM 1023-EZ for MRS CEES SAFE HAVEN

Field Data
EIN 86-1588077
Case Number EO-2021082-000597
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MRS CEES SAFE HAVEN
Organization’s Mailing Address 15 EDGE LANE
City WILLINGBORO
State NJ
ZIP 08046
Accounting period End 12
Primary contact name CHIMENE DEJESUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAKERA PRIESTER
OFFICER
452 A YORK STREET
JERSEY CITY NJ 07302

Officer/Director/Trustee Two

SHAMIRA THOMAS
BOARD TRUSTEE
85 DALES AVE APT 1521
JERSEY CITY NJ 07306

Officer/Director/Trustee Three

ANGELICA GONZALES
OFFICER
452 A YORK STREET
JERSEY CITY NJ 07302

Officer/Director/Trustee Four

DANIEL DEJESUS
OFFICER
19 COLONIAL DR FLR 2
BAYONNE NJ 07002

Officer/Director/Trustee Five

CHIMENE DEJESUS
DIRECTOR
15 EDGE LANE
WILLINGBORO NJ 08046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2021
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 CHIMENE DEJESUS
Signature Title DIRECTOR
Signature Date 1/28/2021

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