FORM 1023-EZ for FLORENCE AREA VETERANS RELIEF AGENCY INC

Field Data
EIN 47-3681827
Case Number EO-2015159-000546
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLORENCE AREA VETERANS RELIEF AGENCY INC
Organization’s Mailing Address PO BOX 692
City FLORENCE
State OR
ZIP 97439-0027
Accounting period End 12
Primary contact name LEONARD LARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MAURICE K SANDERS
PRESIDENT
PO BOX 22
WESTLAKE OR 97439

Officer/Director/Trustee Two

MIICHAEL E NIELSEN
SECRETARY
1670 37TH STREET
FLORENCE OR 97439

Officer/Director/Trustee Three

LEONARD L LARSON
TREASURER
147 42ND WAY
FLOENCE OR 97439

Officer/Director/Trustee Four

RICHARD A SHORES SR
DIRECTOR
3640 SPRUCE STREET
FLORENCE OR 97439

Officer/Director/Trustee Five

STUART W SHOULTS
DIRECTOR
4988 LAKE DR
FLORENCE OR 97439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2015
Organization Incorporation State OR
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 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 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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