FORM 1023-EZ for HOMELESS VETERANS OF AMERICA INC

Field Data
EIN 82-2900333
Case Number EO-2021028-000086
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOMELESS VETERANS OF AMERICA INC
Organization’s Mailing Address 1111 ARCHWOOD DR SW UNIT 291
City OLYMPIA
State WA
ZIP 98502
Accounting period End 12
Primary contact name LAWRENCE JAMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE JAMES
PRESIDENT
1111 ARCHWOOD DR SW UNIT 291
OLYMPIA WA 98502

Officer/Director/Trustee Two

ROBERT HERRON
TREASURER
1111 ARCHWOOD DR SW UNIT 291
OLYMPIA WA 98502

Officer/Director/Trustee Three

KELLY DAVIS
SECRETARY
1111 ARCHWOOD DR SW UNIT 291
OLYMPIA NV 98502

Officer/Director/Trustee Four

RONALD PORTER
DIRECTOR
1111 ARCHWOOD DR SW UNIT 291
OLYMPIA NV 98502

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State NV
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: 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 No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LAWRENCE JAMES
Signature Title PRESIDENT
Signature Date 12/7/2020
EIN 82-2900333
Case Number EO-2019092-000359
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOMELESS VETERANS OF AMERICAN INC
Organization’s Mailing Address PO BOX 27740
City LAS VEGAS
State NV
ZIP 89126
Accounting period End 12
Primary contact name KURT K HARRIS ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAWRENCE JAMES
PRESIDENT
1500 WEST EL CAMINO 325
SACRAMENTO CA 95833

Officer/Director/Trustee Two

RONALD PORTER JR
DIRECTOR
370 WYNBROOK DRIVE
MCDONOUGH GA 30253

Officer/Director/Trustee Three

ROBERT HERRON
TREASURER
102 MAYFAIR AVENUE
VALLEJO CA 94591

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/17
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
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 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 No
Correctness Declaration Yes
Signature Name LAWRENCE JAMES
Signature Title PRESIDENT
Signature Date 3/29/19

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