FORM 1023-EZ for THE SAFE HAVEN NETWORK

Field Data
EIN 47-1413676
Case Number EO-2014345-000329
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE SAFE HAVEN NETWORK
Organization’s Mailing Address 5834 N PAULINA STREET STE 1S
City CHICAGO
State IL
ZIP 60660
Accounting period End 6
Primary contact name JESSICA KATZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GYWN KAITIZ
PRESIDENT
610 BUELL AVE
JOLIET IL 60435

Officer/Director/Trustee Two

WENDY NISSEN
TREASURER
536 1/2 MICHIGAN AVE
EVANSTON IL 60202

Officer/Director/Trustee Three

JENNIFER NAHRWOLD
SECRETARY
3744 W CORNELIA
CHICAGO IL 60618

Officer/Director/Trustee Four

JESSICA KATZ
EXECUTIVE DIRECTOR
2351 W WILSON AVE APT 101
CHICAGO IL 60625

Organization’s website THESAFEHAVENNETWORK.ORG
Organization’s email SAFE@THESAFEHAVENNETWORK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
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 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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