FORM 1023-EZ for VETERANS ROCK

Field Data
EIN 83-4165702
Case Number EO-2019190-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERANS ROCK
Organization’s Mailing Address 741 GAIL GARDNER WAY UNIT F
City PRESCOTT
State AZ
ZIP 86305
Accounting period End 9
Primary contact name ELLIS M CARTER ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS KIRN
PRESIDENT DIRECTOR
741 GAIL GARDNER WAY UNIT F
PRESCOTT AZ 86305

Officer/Director/Trustee Two

DOREEEN HELLER
SECRETARY VICE PRESIDENT DIRECTOR
741 GAIL GARDNER WAY UNIT F
PRESCOTT AZ 86305

Officer/Director/Trustee Three

KARYN PATTERSON
TREASURER VICE PRESIDENT DIRECTOR
741 GAIL GARDNER WAY UNIT F
PRESCOTT AZ 86305

Officer/Director/Trustee Four

BRETT LANGSTON
DIRECTOR
741 GAIL GARDNER WAY UNIT F
PRESCOTT AZ 86305

Officer/Director/Trustee Five

MICHAEL WAGNER
DIRECTOR
741 GAIL GARDNER WAY UNIT F
PRESCOTT AZ 86305

Organization’s website WWW.VETERANSROCK.ORG
Organization’s email CHRIS@VETERANSROCK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/19
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: 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 Yes
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 CHRIS KIRN
Signature Title PRESIDENT DIRECTOR
Signature Date 7/5/19

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