FORM 1023-EZ for OMNI VETERAN AND FAMILY SERVICES INC

Field Data
EIN 81-0719719
Case Number EO-2016092-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OMNI VETERAN AND FAMILY SERVICES INC
Organization’s Mailing Address 1300 YORKDALE DRIVE
City CHARLOTTE
State NC
ZIP 28217-6410
Accounting period End 12
Primary contact name GAIL CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WANDA GAIL CLARK
EXECUTIVE DIRECTOR, BD MEMBER
1300 YORKDALE DRIVE
CHARLOTTE NC 28217-6410

Officer/Director/Trustee Two

TREVINO MOORE
BOARD MEMBER
701 MORRIS STREET
CHARLOTTE NC 28202-1319

Officer/Director/Trustee Three

VALERIE STEPP
BOARD MEMBER
1404 RIVER DRIVE
BELMONT NC 28012-3569

Officer/Director/Trustee Four

KAREN MCNARY
BOARD MEMBER
4801 E INDEPENDENCE BLVD STE 1000
CHARLOTTE NC 28212-5490

Officer/Director/Trustee Five

TERRE LUCAS
BOARD MEMBER
1205 SETTLERS BRIDGE COURT
CHARLOTTE NC 28214-9330

Organization’s website WWW.OMNIVETS.ORG
Organization’s email INFO@OMNIVETS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2016
Organization Incorporation State NC
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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