FORM 1023-EZ for VETERANS PROTOCOL COURT ASSOCIATION

Field Data
EIN 82-1557640
Case Number EO-2017163-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VETERANS PROTOCOL COURT ASSOCIATION
Organization’s Mailing Address 3013 MOTHERLODE DR
City RAPID CITY
State SD
ZIP 57702
Accounting period End 12
Primary contact name SHANNON HOLSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON HOLSTEIN
PRESIDENT
3013 MOTHERLODE DR
RAPID CITY SD 57702

Officer/Director/Trustee Two

DARLA CROWN
SECRETARY
4813 CARRIAGE HILLS DR
RAPID CITY SD 57702

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2017
Organization Incorporation State SD
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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