FORM 1023-EZ for OUR TINY SAFE HAVEN FOUNDATION
| Field | Data |
|---|---|
| EIN | 47-3775766 |
| Case Number | EO-2015166-000273 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | OUR TINY SAFE HAVEN FOUNDATION |
| Organization’s Mailing Address | 1232 MOUNTAIN CREEK RD |
| City | CROSSVILLE |
| State | TN |
| ZIP | 38572 |
| Accounting period End | 12 |
| Primary contact name | BONNIELEE CUEVAS 917-716-4861 |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
CHARLEIGH ANN LEE
BOARD OF DIRECTORS
8622 NORTH 59TH AVE APT 1162
GLENDALE AZ 85302
Officer/Director/Trustee Two
SHIE-ANNA POWELL
BOARD OF DIRECTORS
8622 NORTH 59TH AVE APT 1162
GLENDALE AZ 85302
Officer/Director/Trustee Three
GINA VIERA
BOARD OF DIRECTORS
185 PROSPECT AVE APT 9G
HACKENSACK NJ 07601
Officer/Director/Trustee Four
BONNIELEE CUEVAS
OFFICER AND FOUNDER
2526 SW 152 LANE
OCALA FL 34473
| Organization’s website | WWW.OURTINYSAFEHAVEN.COM |
|---|---|
| Organization’s email | BC@OURTINYSAFEHAVEN.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/26/2015 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T30 - Public Foundations |
| 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 | Yes |
| Donation of funds | Yes |
| 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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