FORM 1023-EZ for KNOX VETERAN HAVEN

Field Data
EIN 47-2248886
Case Number EO-2014340-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KNOX VETERAN HAVEN
Organization’s Mailing Address 9719 HIGHWAY 62
City WOLFFORTH
State TX
ZIP 79382
Accounting period End 10
Primary contact name CAROL DEE UNGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NOEL KNOX
PRESIDENT/OWNER
9719 HIGHWAY 62
WOLFFORTH TX 79382

Officer/Director/Trustee Two

CAROL UNGER
EXECUTIVE DIRECTOR
5802 27TH 9C
LUBBOCK TX 79407

Organization’s website N/A
Organization’s email CAROLDUNGER@GMAI.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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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