FORM 1023-EZ for A HOME FOR OUR VETERANS

Field Data
EIN 82-3243539
Case Number EO-2018295-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A HOME FOR OUR VETERANS
Organization’s Mailing Address 19002 NORTHWOOD AVE
City CARSON
State CA
ZIP 90746
Accounting period End 12
Primary contact name ANGELINA GRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELINA GRAY
CEO
24724 FRAMPTON AVE
HARBOR CITY CA 90710

Officer/Director/Trustee Two

KIMBERLY WELDON
SECRETARY
19002 NORTHWOOD
CARSON CA 90746

Officer/Director/Trustee Three

KIMBERLY WELDON
CFO
19002 NORTHWOOD
CARSON CA 90746

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/17
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 ANGELINA GRAY
Signature Title CEO
Signature Date 10/18/18

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