| Field | Data |
|---|---|
| EIN | 47-5146161 |
| Case Number | EO-2015323-000195 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | COTTAGE GROVE SAFE HAVEN INC |
| Organization’s Mailing Address | PO BOX 1146 |
| City | COTTAGE GROVE |
| State | OR |
| ZIP | 97424 |
| Accounting period End | 12 |
| Primary contact name | KAREN DOUGLASS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
DOLORES ANDERSON
PRESIDENT
375 KALAPUYA WAY
COTTAGE GROVE OR 97424
RONNIE VANCE
VICE PRESIDENT
78206 MOSBY CREEK RD
COTTAGE GROVE OR 97424
TRACEY GREEN
SECRETARY
1184 QUINALT ST
SPRINGFIELD OR 97477
THERESA MCDONALD
CO-TREASURER
747 S 2ND ST
COTTAGE GROVE OR 97424
JORDAN CAULFIELD
CO-TREASURER
77974 S 6TH ST
COTTAGE GROVE OR 97424
| Organization’s website | |
|---|---|
| Organization’s email | SAFEHAVENCG@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/9/2015 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L41 - Homeless, Temporary Shelter For |
| 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 | Yes |
| 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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