FORM 1023-EZ for BLUE RIDGE VETERANS HOME CARE

Field Data
EIN 84-4368730
Case Number EO-2020045-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE RIDGE VETERANS HOME CARE
Organization’s Mailing Address 1030 US HWY 221 BUSINESS
City WEST JEFFERSON
State NC
ZIP 28694-8138
Accounting period End 12
Primary contact name DEBRA BORDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA BORDERS
PRESIDENT/CEO
1030 US HWY 221 BUSINESS
WEST JEFFERSON NC 28694-8138

Officer/Director/Trustee Two

AUBREY BORDERS
VICE PRESIDENT/COCEO
1030 US HWY 221 BUSINESS
WEST JEFFERSON NC 28694-8138

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 No
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 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 DEBRA BORDERS
Signature Title PRESIDENT/CEO
Signature Date 2/12/2020

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