FORM 1023-EZ for NAM KNIGHTS OF AMERICA SKIPJACK CHAPTER INCORPORATED

Field Data
EIN 81-1618366
Case Number EO-2016062-000165
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAM KNIGHTS OF AMERICA SKIPJACK CHAPTER INCORPORATED
Organization’s Mailing Address 45366 ABELL DRIVE
City CALIFORNIA
State MD
ZIP 20619
Accounting period End 12
Primary contact name RAFAEL NIEVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RAFAEL NIEVES
PRESIDENT
3112 WHISPERINNG DRIVE
PRINCE FREDRICK MD 20678-3398

Officer/Director/Trustee Two

TIMOTHY HARTE
VICE PRESIDENT
213 PAWNEE LANE
LUSBY MD 20657-5502

Officer/Director/Trustee Three

CHRIS BISTLINE
1ST SGT AT ARMS
25248 MOUNT STERLING COURT
MECHANICSVILLE MD 20659-4923

Officer/Director/Trustee Four

ERIC VOGT
SECRETARY/TREASURER
45366 ABELL COURT
CALIFORNIA MD 20619-3169

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2015
Organization Incorporation State MD
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 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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