FORM 1023-EZ for JEFF DAVIS COUNTY VETERANS ASSOCIATION INC

Field Data
EIN 46-2712822
Case Number EO-2016246-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEFF DAVIS COUNTY VETERANS ASSOCIATION INC
Organization’s Mailing Address PO BOX 263
City HAZLEHURST
State GA
ZIP 31539
Accounting period End 12
Primary contact name ROY ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROY ANDERSON
PRESIDENT
117 WEST KELLY LANE
HAZLEHURST GA 31539

Officer/Director/Trustee Two

RICHARD WHEELER
TREASURER
1335 ALTAMAHA ROAD
HAZLEHURST GA 31539

Officer/Director/Trustee Three

BILL PRINCE
SECRETARY
134 FIRST ROAD
HAZLEHURST GA 31539

Organization’s website JDCVA.COM
Organization’s email JEFFDAVISCOUNTYVA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2013
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: No
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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