FORM 1023-EZ for GODS HOUSE SAFE HAVEN

Field Data
EIN 86-2483272
Case Number EO-2021097-001214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GODS HOUSE SAFE HAVEN
Organization’s Mailing Address 616 MARGARET PLACE
City ELGIN
State IL
ZIP 60120
Accounting period End 12
Primary contact name FANTASIA GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FANTASIA GRIFFIN
PRESIDENT
1771 QUEENSBURY CIR
HOFFMAN ESTATES IL 60169

Officer/Director/Trustee Two

TRACY ZEMAN
VICE PRESIDENT
416 RIDGE COURT
WAUCONDA IL 60084

Officer/Director/Trustee Three

MARKITA WILLIAMS
SECRETARY
591 OWASCO AVE UNIT C
ELGIN IL 60120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2021
Organization Incorporation State IL
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TRACY ZEMAN
Signature Title VICE PRESIDENT
Signature Date 3/17/2021

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