FORM 1023-EZ for VETERAN SERVICE PROVIDERS

Field Data
EIN 83-4012854
Case Number EO-2019105-000644
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERAN SERVICE PROVIDERS
Organization’s Mailing Address 13337 SOUTH ST 785
City CERRITOS
State CA
ZIP 90703
Accounting period End 12
Primary contact name FRANCIS FERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCIS FERNANDEZ
PRESIDENT
20919 VERNE AVE
LAKEWOOD CA 90715

Officer/Director/Trustee Two

LANCE MAKINANO
SECRETARY
12806 WOODRIDGE AVE
LA MIRADA CA 90638

Officer/Director/Trustee Three

HECTOR AYALA
TREASURER
821 ALBURTIS AVE 48
SANTA FE SPRINGS CA 90670

Organization’s website HTTPS://VETSERVPRO.ORG/
Organization’s email NEWINCNOW@VERIZON.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/18
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 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 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 FRANCIS FERNANDEZ
Signature Title PRESIDENT
Signature Date 4/13/19

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