FORM 1023-EZ for SAFESPACES INITIATIVE

Field Data
EIN 85-2723353
Case Number EO-2020254-000095
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAFESPACES INITIATIVE
Organization’s Mailing Address 6616 QUEBEC AVE N
City BROOKLYN PARK
State MN
ZIP 55428
Accounting period End 12
Primary contact name STEPHANIE GITTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE GITTER
DIRECTOR
6616 QUEBEC AVE N
BROOKLYN PARK MN 55428

Officer/Director/Trustee Two

LORI KELLEY
DIRECTOR
7826 YATES AVE N
BROOKLYN PARK MN 55443

Officer/Director/Trustee Three

CHRISTINE JOHNSON
DIRECTOR
10456 52ND STREET NE
ALBERTVILLE MN 55301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2020
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L81 - Home Improvement and Repairs
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 STEPHANIE GITTER
Signature Title DIRECTOR
Signature Date 9/8/2020

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