FORM 1023-EZ for HOME FOR THE WARRIOR

Field Data
EIN 85-1510720
Case Number EO-2020246-000102
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOME FOR THE WARRIOR
Organization’s Mailing Address 2383 292ND ST
City OSKALOOSA
State IA
ZIP 52577
Accounting period End 12
Primary contact name BRETT NIKKEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIM VAN MAAF
PRESIDENT
2383 292ND ST
OSKALOOSA IA 52577

Officer/Director/Trustee Two

PATTY KALVELAGE
BOARD MEMBER
411 1ST AVE
GRINNELL IA 50112

Officer/Director/Trustee Three

ROB TATE
BOARD MEMBER
13580 COUNTY LINE RD
AINSWORTH IA 52201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2020
Organization Incorporation State IA
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 TIM VAN MAAF
Signature Title PRESIDENT
Signature Date 8/31/2020

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