FORM 1023-EZ for VETERANS HEART GROUP

Field Data
EIN 81-4010765
Case Number EO-2016280-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VETERANS HEART GROUP
Organization’s Mailing Address 111 COMMANCHE COURT
City STATESVILLE
State NC
ZIP 28677
Accounting period End 12
Primary contact name BOBBY PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOBBY PHILLIPS
DIRECTOR/PRES
111 COMMANCHE COURT
STATESVILLE NC 28677

Officer/Director/Trustee Two

KENNETH MARSH
DIRECTOR/VICE PRES
132 BRAMBLEWOOD DR
STATESVILLE NC 28625

Officer/Director/Trustee Three

MARK ARMSTRONG
DIRECTOR/TREASURER
443 BARRY OAK RD
STATESVILLE NC 28625

Officer/Director/Trustee Four

RICHARD SHRODER
DIRECTOR/SEC
141 TITONIUM DR
STATESVILLE NC 28625

Officer/Director/Trustee Five

HAROLD SMITH
DIRECTOR
1025 FOURTH CREEK LANDING DR
STATESVILLE NC 28625

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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