FORM 1023-EZ for US DISABLED VETERANS FOUNDATION

Field Data
EIN 47-4279844
Case Number EO-2019073-000400
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name US DISABLED VETERANS FOUNDATION
Organization’s Mailing Address PO BOX 1223
City NORTH HIGHLANDS
State CA
ZIP 95843
Accounting period End 12
Primary contact name CEDRIC SHELBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CEDRIC SHELBY
PRESIDENT
PO BOX 1223
NORTH HIGHLANDS CA 95843

Officer/Director/Trustee Two

JANIE SUMMERS
TREASURER
PO BOX 1223
NORTH HIGHLANDS CA 95843

Officer/Director/Trustee Three

JOHN OLIVER
SECRETARY
PO BOX 1223
NORTH HIGHLANDS CA 95843

Officer/Director/Trustee Four

STEPHANIE RUBACK
DIRECTOR
PO BOX 1223
NORTH HIGHLANDS CA 95843

Officer/Director/Trustee Five

JOSHUA MOORE
DIRECTOR
PO BOX 1223
NORTH HIGHLANDS CA 95843

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/15
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name CEDRIC SHELBY
Signature Title PRESIDENT
Signature Date 3/12/19
EIN 47-4279844
Case Number EO-2015173-000389
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name US DISABLED VETERANS FOUNDATION
Organization’s Mailing Address PO BOX 1223
City NORTH HIGHLANDS
State CA
ZIP 95843
Accounting period End 12
Primary contact name CEDRIC SHELBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CEDRIC SHELBY
PRESIDENT, DIRECTOR
PO BOX 1223
NORTH HIGHLANDS CA 95843

Officer/Director/Trustee Two

STEPHANIE MARSHALL
SECRETARY, DIRECTOR
11608 HOLLY WALK DR
ST LOUIS MO 63146

Officer/Director/Trustee Three

JAMES BERRY
TREASURER, DIRECTOR
1530 FULTON AVE APT 92
SACRAMENTO CA 95825

Officer/Director/Trustee Four

MELISSA THOMPSON
DIRECTOR
3602 MALIBU LN APT C
KILLEEN TX 76543

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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