FORM 1023-EZ for SAFESPACE PHOENIX

Field Data
EIN 85-3238608
Case Number EO-2020303-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFESPACE PHOENIX
Organization’s Mailing Address 5757 PRESTON VIEW BLVD APT 231
City DALLAS
State TX
ZIP 75240
Accounting period End 12
Primary contact name JULIAN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMOYA MASON
VICE-PRESIDENT
6002 POWDER WOOD LN
ARLINGTON TX 76018

Officer/Director/Trustee Two

ARIELE KINNEY
SECRETARY
2500 RUGER DR APT 50
ARLINGTON TX 76006

Officer/Director/Trustee Three

JULIAN WILLIAMS
PRESIDENT
5757 PRESTON VIEW BLVD APT 231
DALLAS TX 75240

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2020
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 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 JULIAN WILLIAMS
Signature Title PRESIDENT
Signature Date 10/26/2020

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