FORM 1023-EZ for 22 A DAY VERTERANS LIVES MATTER

Field Data
EIN 85-2982560
Case Number EO-2021039-000031
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 22 A DAY VERTERANS LIVES MATTER
Organization’s Mailing Address 2967 MIDDLE ROAD
City SIDNEY
State ME
ZIP 04330
Accounting period End 12
Primary contact name KAREN JOHNSON CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER LARSEN
PRESIDENT
2967 MIDDLE ROAD
SIDNEY ME 04330

Officer/Director/Trustee Two

REBECCA TIBBETS
VICE PRESIDENT
41 SCITTY RD
SIDNEY ME 04330

Officer/Director/Trustee Three

CHRISTOPHER O GRADY
SECRETARY
355 LYONS RD
SIDNEY ME 04330

Officer/Director/Trustee Four

RICHARD DOBLE
TREASURER
15 CHERRYWOOD DR
TOPSHAM ME 04086

Organization’s website
Organization’s email 22VETERANLIVESMATTER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2020
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHRISTOPHER LARSEN
Signature Title PRESIDENT
Signature Date 12/4/2020

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