FORM 1023-EZ for SAFE HAVEN RANCH NFP

Field Data
EIN 84-4579273
Case Number EO-2020037-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFE HAVEN RANCH NFP
Organization’s Mailing Address 21433 S LAKEWOODS LANE
City SHOREWOOD
State IL
ZIP 60404
Accounting period End 12
Primary contact name THOMAS HOGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS HOGAN
PRESIDENT
21433 S LAKEWOODS LANE
SHOREWOOD IL 60404

Officer/Director/Trustee Two

JOHN KONOPEK
VICE PRESIDENT
14300 COIL PLUS DRIVE
PLAINFIELD IL 60544

Officer/Director/Trustee Three

MARK PINELLI
TREASURER
11635 S KILDARE STREET
ALSIP IL 60803

Officer/Director/Trustee Four

LYNNE SCHROTT
SECRETARY
2472 ROUTE 30 SUITE B103
OSWEGO IL 60543

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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 THOMAS HOGAN
Signature Title PRESIDENT
Signature Date 2/4/2020

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