FORM 1023-EZ for HOMELESS VETERANS INITIATIVE

Field Data
EIN 86-1730504
Case Number EO-2021100-000974
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOMELESS VETERANS INITIATIVE
Organization’s Mailing Address 840 SANFORD NICHOLSON RD
City NICHOLSON
State GA
ZIP 30565-3912
Accounting period End 12
Primary contact name COLE JAMES CALLICOATT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COLE CALLICOATT
DIRECTOR
840 SANFORD NICHOLSON RD
NICHOLSON GA 30565-3912

Officer/Director/Trustee Two

JOHN SMITH
SECRETARY
840 SANFORD NICHOLSON RD
NICHOLSON GA 30565-3912

Officer/Director/Trustee Three

ALEX ROMAN
BOARD MEMBER
8418 BLACKBURN AVENUE APARTMENT 6
LOS ANGELES CA 90048-4160

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/25/2021
Organization Incorporation State GA
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 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 Yes
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 COLE CALLICOATT
Signature Title DIRECTOR
Signature Date 3/30/2021

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