FORM 1023-EZ for SOUTHEAST REGIONAL VETERANS HOME INC

Field Data
EIN 47-2169645
Case Number EO-2019301-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHEAST REGIONAL VETERANS HOME INC
Organization’s Mailing Address 1072 W PEACHTREE ST NE STE 79331
City ATLANTA
State GA
ZIP 30309
Accounting period End 12
Primary contact name WILBUR HUGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILBUR HUGGINS
PRESIDENT, DIRECTOR
1072 W PEACHTREE ST NE STE 79331
ATLANTA GA 30309

Officer/Director/Trustee Two

LESLEY MOODY
SECRETARY, DIRECTOR
1072 W PEACHTREE ST NE STE 79331
ATLANTA GA 30309

Officer/Director/Trustee Three

CHARLIE BEVERLY
TREASURER, DIRECTOR
1072 W PEACHTREE ST NE STE 79331
ATLANTA GA 30309

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/14
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILBUR HUGGINS
Signature Title PRESIDENT, DIRECTOR
Signature Date 10/18/19
EIN 47-2169645
Case Number EO-2015103-000085
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHEAST REGIONAL VETERANS HOME INC
Organization’s Mailing Address 1072 WEST PEACHTREE ST NE SUI79331
City ATLANTA
State GA
ZIP 30309
Accounting period End 12
Primary contact name WILBUR HUGGINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILBUR HUGGINS
EXECUTIVE DIRECTOR
1072 W PEACHTREE ST NE SUITE79331
ATLANTA GA 30309

Officer/Director/Trustee Two

SARAH MYERS
BOARD CHAIR
1072 W PEACHTREE ST NE SUITE79331
ATLANTA GA 30309

Officer/Director/Trustee Three

LESLEY MOODY
BOARD SECRETARY
1072 W PEACHTREE ST NE SUITE79331
ATLANTA GA 30309

Officer/Director/Trustee Four

CHARLIE BEVERYL
BOARD TREASURER
1072 W PEACHTREE ST NE SUITE79331
ATLANTA GA 30309

Organization’s website
Organization’s email WILBURHUGGINS1@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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