FORM 1023-EZ for VETERANS MOTEL

Field Data
EIN 47-3616753
Case Number EO-2015105-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VETERANS MOTEL
Organization’s Mailing Address 1288 NORTH TRINITY DRIVE
City FATETTEVILLE
State AR
ZIP 72704
Accounting period End 12
Primary contact name KIMBERLY TOOVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLY TOOVEY
VICE PRESIDENT/ SECRETARY
3369 GRAND AVE
GLENWOOD SPRINGS CO 81601

Officer/Director/Trustee Two

JARED MASTROIANNI
PRESIDENT/CHAIRMAN
4505 SW SKYLINE STREET
BENTONVILLE AR 72712

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2015
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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
Signature Title
Signature Date

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