FORM 1023-EZ for VETERAN LIFELINE CORP

Field Data
EIN 84-3781241
Case Number EO-2020006-000456
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERAN LIFELINE CORP
Organization’s Mailing Address 2039 REFLECTION CREEK DRIVE
City CONYERS
State GA
ZIP 30013
Accounting period End 12
Primary contact name ANTHONY BERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENNIE WILLIAMS
PRESIDENT
3412 PETTICOAT LANE
FUQUAY-VARINA NC 27526

Officer/Director/Trustee Two

JAMES GRAY
VP/TREASURER
130 VILLAGE GREEN CIRCLE
TYRONE GA 30290

Officer/Director/Trustee Three

SYRETA KWINDIMA
VP/RECORDING SECRETARY
638 SOUTH RAYS RD
STONE MOUNTAIN GA 30083

Organization’s website WWW.
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 No
Correctness Declaration Yes
Signature Name BENNIE WILLIAMS
Signature Title PRESIDENT
Signature Date 1/3/2020

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