FORM 1023-EZ for SAFARI HOMES REFUGEE SERVICES INC

Field Data
EIN 46-5426528
Case Number EO-2015084-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAFARI HOMES REFUGEE SERVICES INC
Organization’s Mailing Address 719 MANISTIQUE AVE
City SOUTH MILWAUKEE
State WI
ZIP 53172-3231
Accounting period End 12
Primary contact name ADEL DAHCHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ADEL DAHCHE
CEO/TRESURER
719 MANISTIQUE AVE
SOUTH MILWAUKEE WI 53172-3231

Officer/Director/Trustee Two

RONALD HENDREE
DIRECTOR OPERATIONS
2718 WEST AUER AVENUE
MILWAUKEE WI 53216-3829

Officer/Director/Trustee Three

WISAM DAHCHE
DIRECTOR CARE SERVICES
3746 SOUTH BRUST AVE
MILWAUKEE WI 53207-4062

Officer/Director/Trustee Four

JAMAL ALCHAAR
SECRETARY
6408 111TH AVE
KENOSHA WI 53142-7563

Officer/Director/Trustee Five

NASEEM DAHCHE
ADMINSITRATION ASSISTANT
719 MANISTIQUE AVE
SOUTH MILWAUKEE WI 53172-3231

Organization’s website
Organization’s email HOMES@ATHDS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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
Signature Title
Signature Date

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