FORM 1023-EZ for SAFE HAVEN CARE FUNDATION

Field Data
EIN 86-3123800
Case Number EO-2021105-000183
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HAVEN CARE FUNDATION
Organization’s Mailing Address 18432 W DESERT VIEW LANE
City GOODYEAR
State AZ
ZIP 85338-5373
Accounting period End 12
Primary contact name SHARON ISAAC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON ISAAC
PRESIDENT
18432 W DESERT VIEW LANE
GOODYEAR AZ 85338-5373

Officer/Director/Trustee Two

RON ISAAC
VICE PRESIDENT
18432 W DESERT VIEW LANE
GOODYEAR AZ 85338-5373

Officer/Director/Trustee Three

NIESHA EVANS
TREASURER
29 BROWN ST
MAPLEWOOD NJ 07040-3082

Officer/Director/Trustee Four

DOUGLAS EVANS
DIRECTOR
28 LAUREL AVE
LIVINGSTON NJ 07039-2429

Officer/Director/Trustee Five

TYWANNA LEWIS
SECRETARY
52 BOSTON ST
NEWARK NJ 07103-3434

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 SHARON ISAAC
Signature Title PRESIDENT
Signature Date 4/13/2021

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