FORM 1023-EZ for A SAFE PLACE TO LAND

Field Data
EIN 85-1040704
Case Number EO-2021076-000469
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A SAFE PLACE TO LAND
Organization’s Mailing Address 102 HOTCHKISS ST
City FREDERICKSBURG
State VA
ZIP 22408
Accounting period End 12
Primary contact name SUSAN H MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN MILLER
PRESIDENT
102 HOTCHKISS ST
FREDERICKSBURG VA 22408-3904

Officer/Director/Trustee Two

ERIK MILLER
VICE PRESIDENT
9600 CAPEVIEW AVE
NORFOLK VA 23503-2602

Officer/Director/Trustee Three

ANDREA HAMPTON
MEMBER
13832 UNION CHURCH RD
SUMERDUCK VA 22742-2057

Organization’s website
Organization’s email SUSAN.SAFEPLACETOLAND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 SUSAN MILLER
Signature Title PRESIDENT
Signature Date 1/20/2021

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