FORM 1023-EZ for SAFE HARBOR FAMILY ADVOCATES INC

Field Data
EIN 61-1772988
Case Number EO-2015310-000277
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAFE HARBOR FAMILY ADVOCATES INC
Organization’s Mailing Address PO BOX 1071
City LA GRANDE
State OR
ZIP 97850
Accounting period End 12
Primary contact name DENISE JOLLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DENISE JOLLEY
DIRECTOR
1305 7TH STREET
LA GRANDE OR 97850

Officer/Director/Trustee Two

CHAD JOLLEY
DIRECTOR
1305 7TH STREET
LA GRANDE OR 97850

Organization’s website WWW.SAFEHARBORFAMILYADVOCATES.COM
Organization’s email SAFEHARBORFAMILYADVOCATES@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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