FORM 1023-EZ for VETERANS VILLAGE OF NORTHEAST FLORIDA INC

Field Data
EIN 83-3339480
Case Number EO-2019091-000407
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERANS VILLAGE OF NORTHEAST FLORIDA INC
Organization’s Mailing Address 4150 BELFORT ROAD 551337
City JACKSONVILLE
State FL
ZIP 32216
Accounting period End 12
Primary contact name SHARON UNGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARON UNGER
P
4150 BELFORT ROAD 551337
JACKSONVILLE FL 32216

Officer/Director/Trustee Two

ANTHONY DALEO
VP
PO BOX 331332
ATLANTIC BEACH FL 32233

Officer/Director/Trustee Three

WILLIAM ODOM
S
300 KINGSLEY LAKE DRIVE SUITE 401D
ST AUGUSTINE FL 32092

Officer/Director/Trustee Four

STEVE SPECKELMIER
T
4150 BELFORT ROAD
JACKSONVILLE FL 32216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM ODOM
Signature Title S
Signature Date 3/27/19

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