FORM 1023-EZ for MY SAFE HAVEN
| Field | Data |
|---|---|
| EIN | 81-3476998 |
| Case Number | EO-2020206-000254 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MY SAFE HAVEN |
| Organization’s Mailing Address | 18457 NORTH DR APT 46 |
| City | SOUTHFIELD |
| State | MI |
| ZIP | 48076-1123 |
| Accounting period End | 12 |
| Primary contact name | LUE BANKS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LUE GRAHAM
CEO
18457 NORTH DR APT 46
SOUTHFIELD MI 48076-1123
Officer/Director/Trustee Two
PATRICIA BOYKINS
PRESIDENT
17305 GATEWAY CIR
SOUTHFIELD MI 48075-4704
Officer/Director/Trustee Three
JOSHUA BANKS
VICE PRESIDENT
18457 NORTH DR APT 46
SOUTHFIELD MI 48076-1123
Officer/Director/Trustee Four
CHARLES MCCUIEN
TRUSTEE
19103 BIRCHRIDGE ST
SOUTHFIELD MI 48075-4704
Officer/Director/Trustee Five
JAZZMEN HILL
TREASURER
18457 NORTH DR APT 46
SOUTHFIELD MI 48076-1123
| Organization’s website | |
|---|---|
| Organization’s email | MYSAFEHAVEN55@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/15/2017 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P62 - Victims' Services |
| 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | JOSHUA BANKS |
| Signature Title | VICE PRESIDENT |
| Signature Date | 7/22/2020 |
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