FORM 1023-EZ for STOCKDALE VETERANS HOME INC

Field Data
EIN 81-5384702
Case Number EO-2021064-000612
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name STOCKDALE VETERANS HOME INC
Organization’s Mailing Address 4130 ORCHARD VALLEY BLVD
City INDIANAPOLIS
State IN
ZIP 46235
Accounting period End 12
Primary contact name RAYMOND A STOCKDALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAYMOND STOCKDALE
DIRECTOR
4130 ORCHARD VALLEY BLVD
INDIANAPOLIS IN 46235

Officer/Director/Trustee Two

QUIANDRA NIXON-DAGEN
BOARD MEMBER
614 SWEET CREEK DRIVE
INDIANAPOLIS IN 46254

Officer/Director/Trustee Three

CAPRICE CAMPBELL
BOARD MEMBER
5386 BAY HARBOR DRIVE
INDIANAPOLIS IN 46254

Officer/Director/Trustee Four

JOE TEWELL
BOARD MEMBER
301 ELLIS STREET
PLAINFIELD IN 46168

Officer/Director/Trustee Five

SHERICE DONIGAN
BOARD MEMBER
317-531-4880
INDIANAPOLIS IN 46218

Organization’s website
Organization’s email JASCATES1@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2020
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P82 - Developmentally Disabled Centers, Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 RAYMOND STOCKDALE
Signature Title DIRECTOR
Signature Date 1/4/2021

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