FORM 1023-EZ for PLACER VETERANS STAND DOWN INC

Field Data
EIN 47-4822169
Case Number EO-2015265-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PLACER VETERANS STAND DOWN INC
Organization’s Mailing Address 600 ATLANTIC
City ROSEVILLE
State CA
ZIP 95678-1805
Accounting period End 12
Primary contact name JUNE EPPERLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT HIPWELL
PRESIDENT
7320 OAK PINE LANE
GRANITE BAY CA 95746-7348

Officer/Director/Trustee Two

MICHAEL LUSZCZAK
VICE PRESIDENT
1600 EUREKA ROAD
ROSEVILLE CA 95661-3027

Officer/Director/Trustee Three

ELLIE RAMSEY
SECRETARY
600 ATLANTIC
ROSEVILLE CA 95678-1805

Officer/Director/Trustee Four

JUNE EPPERLY
TREASURER
8318 OAK FRONT LANE
CITRUS HEIGHTS CA 95610-0762

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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