FORM 1023-EZ for TRI-STATE VETERANS SUPPORT INC

Field Data
EIN 87-1380841
Case Number EO-2021214-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TRI-STATE VETERANS SUPPORT INC
Organization’s Mailing Address 936 BROADWAY SUITE F
City QUINCY
State IL
ZIP 62301
Accounting period End 12
Primary contact name RICHARD ELSENPETER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD ELSENPETER
CHAIRPERSON
109 WEST 7TH
NEW LONDON MO 63459

Officer/Director/Trustee Two

KELLY HOGAN
VICE-CHAIRPERSON
6020 BROADWAY
QUINCY IL 62305

Officer/Director/Trustee Three

STEPHANIE COOPER
SECRETARY
711 GRAND AVE
HANNIBAL MO 63401

Officer/Director/Trustee Four

JENNA HULL
FISCAL DIRECTOR
936 BROADWAY SUITE F
QUINCY IL 62301

Officer/Director/Trustee Five

STEVE SHEPHERD
DIRECTOR
107 N 3RD
QUINCY IL 62301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 RICHARD ELSENPETER
Signature Title CHAIRPERSON
Signature Date 7/29/2021

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