FORM 1023-EZ for VETERAN SPEAKEASY

Field Data
EIN 47-3538277
Case Number EO-2016237-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VETERAN SPEAKEASY
Organization’s Mailing Address 20540 HWY 46 W STE 115 PMB 249
City CANYON LAKE
State TX
ZIP 78070
Accounting period End 1
Primary contact name TRAVIS GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS GREEN
PRESIDENT
1611 WHITE RIVER RD
CANYON LAKE TX 78133

Officer/Director/Trustee Two

DAVIS DOLEZAL
VICE PRESIDENT
231 HEARTHSTONE CIRCLE
FRANKLIN TN 37069

Officer/Director/Trustee Three

CHRISTINA CERNANSKY
SECRETARY/TREASURER
PO BOX 3552
KETCHUM, ID 83340

Organization’s website
Organization’s email INFO@VETERANSPEAKEASY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2016
Organization Incorporation State TX
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 Yes
Donation of funds Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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