FORM 1023-EZ for 21 VETS INCORPORATED

Field Data
EIN 84-1793170
Case Number EO-2020170-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 21 VETS INCORPORATED
Organization’s Mailing Address 4908 FAUNA DRIVE
City MELBOURNE
State FL
ZIP 32934
Accounting period End 12
Primary contact name DANIEL J PIPPIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAHAR OSMANI
CHIEF EXECUTIVE OFFICER
742 QUAIL RUN CIRCLE
TRACY CA 95377

Officer/Director/Trustee Two

DANIEL PIPPIN
PRESIDENT
4908 FAUNA DRIVE
MELBOURNE FL 32934

Officer/Director/Trustee Three

FRANCISCO REYES
GENERAL COUNSEL
METRO OFFICE PARK 7 CARR 1 STE 2040
GUAYNABO PR 00968

Organization’s website HTTPS://WWW.21VETS.ORG
Organization’s email 21VETS@MAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2019
Organization Incorporation State FL
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name DANIEL PIPPIN
Signature Title PRESIDENT
Signature Date 4/4/2020

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