FORM 1023-EZ for NEW COVENANT SAFE HAVEN

Field Data
EIN 85-2539248
Case Number EO-2020238-000042
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW COVENANT SAFE HAVEN
Organization’s Mailing Address 111 SACRAMENTO DRIVE
City HAMPTON
State VA
ZIP 23666
Accounting period End 9
Primary contact name SARAH WALLACE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH WALLACE
PRESIDENT
111 SACRAMENTO DRIVE
HAMPTON VA 23666

Officer/Director/Trustee Two

SHAWN MAURER
VICE PRESIDENT
200 NORTH UMBERLAND DRIVE
STEPHENSON VA 22656

Officer/Director/Trustee Three

MICHAEL GUINN
TREASURER
111 SACRAMENTO DRIVE
HAMPTON VA 23666

Officer/Director/Trustee Four

LAVONNIA GUINN
SECRETARY
111 SACRAMENTO DRIVE
HAMPTON VA 23666

Organization’s website
Organization’s email NCSH83@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2020
Organization Incorporation State VA
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: Yes
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 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 SARAH WALLACE
Signature Title PRESIDENT
Signature Date 8/23/2020

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