FORM 1023-EZ for HOMELESS VETERANS INITIATIVE OF ALABAMA

Field Data
EIN 81-4666553
Case Number EO-2017103-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOMELESS VETERANS INITIATIVE OF ALABAMA
Organization’s Mailing Address 86 OLD FERRY ROAD
City JASPER
State AL
ZIP 35503
Accounting period End 12
Primary contact name PAT JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK JOHNSON
PRESIDENT
86 OLD FERRY ROAD
JASPER AL 35503

Officer/Director/Trustee Two

ROMALYN AARON
VICE PRESIDENT
5504 LAKE RIDGE LANE
JASPER AL 35504

Officer/Director/Trustee Three

CHARLIE BARBER
MASTER-AT-ARMS
31649 HIGHWAY 69
JASPER AL 35504

Officer/Director/Trustee Four

MARY-ELLEN SPRINGSTON
TREASURER
9233 MANNING ROAD
DORA AL 35062

Officer/Director/Trustee Five

SHANNON MCGALLIARD
SECRETARY
25900 HIGHWAY 78 LOT 28
CARBON HILL AL 35549

Organization’s website THEINITIATIVE.VET
Organization’s email PMJ12186@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2017
Organization Incorporation State AL
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 Yes
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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