FORM 1023-EZ for THE JAMES WALTER CRIBBEN CENTER FOR VETERANS AFFAIRS

Field Data
EIN 81-3771202
Case Number EO-2017052-000436
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JAMES WALTER CRIBBEN CENTER FOR VETERANS AFFAIRS
Organization’s Mailing Address 29637 CIRCLE R GREENS DRIVE
City ESCONDIDO
State CA
ZIP 92026
Accounting period End 12
Primary contact name JEFFREY CRIBBEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY CRIBBEN
CEO
29637 CIRCLE R GREENS DRIVE
ESCONDIDO CA 92026

Officer/Director/Trustee Two

SCOTT ALLBERT
SECRETARY
301 SHEEPSHANK DRIVE
GEORGETOWN TX 78633

Officer/Director/Trustee Three

JASON HARRIS
CFO
520 SILVERBROOK DRIVE
EL CAJON CA 92019

Organization’s website WWW.JIMMYSHOUSE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2016
Organization Incorporation State CA
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: 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 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 Yes
One Third Support Gifts No
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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