FORM 1023-EZ for VETERANS VALHALLA FOUNDATION CORP

Field Data
EIN 87-1706606
Case Number EO-2021228-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERANS VALHALLA FOUNDATION CORP
Organization’s Mailing Address 33372 CALHOUN RD
City SHADY POINT
State OK
ZIP 74956
Accounting period End 12
Primary contact name DEREK KOLB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK KOLB
PRESIDENT & DIRECTOR
33372 CALHOUN RD
SHADY POINT OK 74956

Officer/Director/Trustee Two

LUIS MOCTEZUMA
SECRETARY & DIRECTOR
33372 CALHOUN RD
SHADY POINT OK 74956

Officer/Director/Trustee Three

KELLY COPE
VICE PRESIDENT & DIREC
30805 CR 1580
ALLEN OK 74825

Officer/Director/Trustee Four

EVAN CARR
TREASURER & DIRECTOR
3627 BANKS RUN LANE
KATY TX 77449

Officer/Director/Trustee Five

GENE BIRDWELL
OVERSIGHT & DIRECTOR
PO BOX 690748
HOUSTON TX 77269

Organization’s website
Organization’s email DEREKKOLB@PROTONMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2021
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
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 DEREK KOLB
Signature Title PRESIDENT & DIRECTOR
Signature Date 8/12/2021

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