| Field | Data |
|---|---|
| EIN | 46-3867852 |
| Case Number | EO-2014238-000176 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SAFE HAVEN COMMUNITY CHURCH |
| Organization’s Mailing Address | 1013 CTYQ |
| City | POUND |
| State | WI |
| ZIP | 54114 |
| Accounting period End | 12 |
| Primary contact name | MARK KOSTREVA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
RICHARD W LARSON
BOARD MEMBER
N4290 ELMERS LANE
POUND WI 54161
CORINE LARSON
BOARD MEMBER
N4290 ELMERS LANE
POUND WI 54161
GARY GEORGIANN VANDERVELD
BOARD MEMBER
N11810 CHESEPEAKE RUN
CRIVITZ WI 54114
DARLENE MALONEY
BOARD MEMBER
W9293 W 4TH ROAD
COLEMAN WI 54112
BOB CHER PURVIS
BOARD MEMBER
7656 SOUKUP ROAD
COLEMAN WI 54112
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/1/2013 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X20 - Christian |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | Yes |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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