FORM 1023-EZ for NAZ VETERANS MENTORS INC

Field Data
EIN 82-0643325
Case Number EO-2017079-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAZ VETERANS MENTORS INC
Organization’s Mailing Address 2235 N COUNTRY CLUB DRIVE
City FLAGSTAFF
State AZ
ZIP 86004-7393
Accounting period End 12
Primary contact name THOMAS S HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS HENDERSON
PRESIDENT
2235 N COUNTRY CLUB DRIVE
FLAGSTAFF AZ 86004-7393

Officer/Director/Trustee Two

DURAL BROWNING
CHAIRMAN
10004 HERITAGE DR
FLAGSTAFF AZ 86004-8219

Officer/Director/Trustee Three

GARY PEARLMUTTER
DIRECTOR
2334 W BLUE WILLOW
FLAGSTAFF AZ 86001-0995

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2017
Organization Incorporation State AZ
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 Yes
One Third Support Gifts No
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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