FORM 1023-EZ for THE PEOPLES SAFE HAVEN INC

Field Data
EIN 83-1349366
Case Number EO-2018250-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE PEOPLES SAFE HAVEN INC
Organization’s Mailing Address 19109 MOHAWK
City CLEVELAND
State OH
ZIP 44119
Accounting period End 12
Primary contact name LATRISHA WEEMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LATRISHA WEEMS
CEO/TREASURER
19109 MOHAWK AVE
CLEVELAND OH 44119

Officer/Director/Trustee Two

DAWN WOOD
PRESIDENT
6809 MAYFIELD RD
MAYFIELD HTS OH 44124

Officer/Director/Trustee Three

CHRISTINE LEE
SECRETARY
3566 EST 149
CLEVELAND OH 44120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 LATRISHA WEEMS
Signature Title CEO/TREASURER
Signature Date 9/5/18

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