FORM 1023-EZ for VETERAN VILLAGE - AMNACS

Field Data
EIN 84-4683842
Case Number EO-2020077-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERAN VILLAGE - AMNACS
Organization’s Mailing Address PMB 237 1590 SUGARLAND DR STE B
City SHERIDAN
State WY
ZIP 82801-5776
Accounting period End 12
Primary contact name KRISTEN MARCUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEN MARCUS
EXECUTIVE DIRECTOR
1590 SUGARLAND DR STE B
SHERIDAN WY 82801-8937

Officer/Director/Trustee Two

EDDIE PAYLOR
PRESIDENT
51 COFFEEN AVE STE 101 BOX 224
SHERIDAN WY 82801-4873

Officer/Director/Trustee Three

CHAZ LINGENFELTER
VICE-PRESIDENT
1441 HOLLOWAY
SHERIDAN WY 82801-2322

Officer/Director/Trustee Four

IAN LYDIC
TREASURER
PO BOX 1005
SHERIDAN WY 82801-1005

Officer/Director/Trustee Five

TERI ROWLAND
SECRETARY
181 UPPER PRAIRIE DOG RD
SHERIDAN WY 82832-9713

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/9/2020
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L20 - Housing Development, Construction, Management
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 KRISTEN MARCUS
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/15/2020

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