FORM 1023-EZ for NWA VETERANS TREATMENT COURT MENTORPROGRAM INC

Field Data
EIN 83-3126680
Case Number EO-2019045-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NWA VETERANS TREATMENT COURT MENTORPROGRAM INC
Organization’s Mailing Address 5208 VILLAGE PKWY SUITE 9
City ROGERS
State AR
ZIP 72758
Accounting period End 12
Primary contact name J CHRISTOPHER HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON DECELLE
CHAIRMAN
4 HARRINGTON DRIVE
BELLA VISTA AR 72714

Officer/Director/Trustee Two

DAVID PATTERSON
VICE CHAIRMAN
25 BOSWELL DRIVE
BELLA VISTA AR 72715

Officer/Director/Trustee Three

CONNIE FOX BRUNO
SECRETARY
1904 NW AUTUMN AVE
BENTONVILLE AR 72712

Officer/Director/Trustee Four

BECKY MESKILL
TREASURER
9 LAMBETH LANE
BELLA VISTA AR 72714

Officer/Director/Trustee Five

JEFFREY BUSHEY
DIRECTOR
2315 SW 16TH STREET
BENTONVILLE AR 72713

Organization’s website NWAVETCOURTMENTOR.ORG
Organization’s email DIRECTOR@NWAVETCOURTMENTOR.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/19
Organization Incorporation State AR
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 AARON DECELLE
Signature Title CHAIRMAN
Signature Date 2/12/19

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