FORM 1023-EZ for VETERANS PALACE

Field Data
EIN 84-3901999
Case Number EO-2019357-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERANS PALACE
Organization’s Mailing Address 1821 20TH STREET
City BIRMINGHAM
State AL
ZIP 35218
Accounting period End 12
Primary contact name CHRINIQUA SHELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARYLE JONES
CHIEF EXECUTIVE OFFICER
1821
BIRMINGHAM AL 35218

Officer/Director/Trustee Two

VALARIE LUMPKIN
CHIEF OPERATING OFFICER
1821 20TH STREET
BIRMINGHAM AL 35218

Officer/Director/Trustee Three

CHRINIQUQA SHELTON
DIRECTOR
1821 20TH STREET
BIRMINGHAM AL 35218

Officer/Director/Trustee Four

KENNETH LEONARD
DIRECTOR
1821 20TH STREET
BIRMINGHAM AL 35218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2019
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L80 - Housing Support Services -- Other
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 DARYLE JONES
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 12/19/2019

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