FORM 1023-EZ for SAFE INC

Field Data
EIN 36-4866016
Case Number EO-2017240-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAFE INC
Organization’s Mailing Address 5020 SMITH FARM ROAD
City VIRGINIA BEACH
State VA
ZIP 23455
Accounting period End 12
Primary contact name ELIZABETH DIETZMANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD CARPENTER
DIRECTOR/PRESIDENT
5020 SMITH FARM ROAD
VIRGINIA BEACH VA 23455

Officer/Director/Trustee Two

MARIO MARTIN
VICE PRESIDENT
3009 WINGLEWOOD CIRCLE
LUTZ FL 33558

Officer/Director/Trustee Three

STACEY SMITH
SECRETARY
4765 PLANTATION OAKS BLVD
ORANGE PARK FL 32065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 Yes
One Third Support Gifts No
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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