FORM 1023-EZ for VBL RESPITE HOUSE AND ACTIVITY CENTER
| Field | Data |
|---|---|
| EIN | 30-0635239 |
| Case Number | EO-2017198-000527 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | VBL RESPITE HOUSE AND ACTIVITY CENTER |
| Organization’s Mailing Address | 14976 W WETHERSFIELD RD |
| City | SURPRISE |
| State | AZ |
| ZIP | 85379 |
| Accounting period End | 12 |
| Primary contact name | PRECIOUS JACKSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
VINCENT PATTON
CHAIR
PO BOX 30841
PHOENIX AZ 85032
Officer/Director/Trustee Two
DR MICHAEL MACKNIN
FINANCE COMMITTEE
9500 EUCLID AVENUE
CLEVELAND OH 44195
Officer/Director/Trustee Three
PRECIOUS JACKSON
SECRETARY
14976 W WETHERSFIELD RD
SURPRISE AZ 85379
Officer/Director/Trustee Four
DEBORAH PATTON
TREASURER
100 RICHMOND RD APT 435
EUCLID OH 44143
Officer/Director/Trustee Five
DWAYNE CLAIBORNE
VICE CHAIR
40 SEVERANCE CIRCLE
CLEVELAND HEIGHTD OH 44118
| Organization’s website | |
|---|---|
| Organization’s email | VBLRESPITE@ATT.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/19/2009 |
| Organization Incorporation State | OH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G84 - Autism |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | Yes |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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