FORM 1023-EZ for VETERAN CAREGIVER ASSISTANCE

Field Data
EIN 84-1891965
Case Number EO-2019150-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERAN CAREGIVER ASSISTANCE
Organization’s Mailing Address 10026 SOUTH MINGO RD STE 272
City TULSA
State OK
ZIP 74133
Accounting period End 12
Primary contact name NATASHA DAHM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATASHA DAHM
PRESIDENT
2701 W DECATUR ST
BROKEN ARROW OK 74011

Officer/Director/Trustee Two

NATHAN DAHM
VICE PRESIDENT
5204 S REDBUD AVE
BROKEN ARROW OK 74011

Officer/Director/Trustee Three

SHANNON GRIMES
TRUSTEE
11525 E 620 RD
PEGGS OK 74452

Organization’s website N/A
Organization’s email VETERANCAREGIVERASSISTANCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/24/19
Organization Incorporation State OK
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: Yes
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 NATASHA DAHM
Signature Title PRESIDENT
Signature Date 5/28/19

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