FORM 1023-EZ for HOME OF THE BRAVE HEARTS VETERANS HOME

Field Data
EIN 85-2180528
Case Number EO-2020237-000609
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOME OF THE BRAVE HEARTS VETERANS HOME
Organization’s Mailing Address 1170 THORNDALE DR
City AKRON
State OH
ZIP 44320
Accounting period End 4
Primary contact name SHAKYLIA CAMERON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAKYLIA CAMERON
CEO/FOUNDER
1170 THORNDALE DR
AKRON OH 44320

Officer/Director/Trustee Two

BERONICA CAMERON-MACK
PRESIDENT
1170 THORNDALE DR
AKRON OH 44320

Officer/Director/Trustee Three

JC PATTERSON
VICE PRESIDENT
6024 WEST RAYMOND
PHOENIX AZ 85043

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
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 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 SHAKYLIA CAMERON
Signature Title CEO/FOUNDER
Signature Date 8/21/2020

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