FORM 1023-EZ for VETERANS LIFE SOURCE

Field Data
EIN 82-2516654
Case Number EO-2017263-000261
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VETERANS LIFE SOURCE
Organization’s Mailing Address 8904 S 50TH AVE
City OAK LAWN
State IL
ZIP 60453
Accounting period End 10
Primary contact name DERRYL TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRYL TAYLOR
FOUNDER/CEO
8904 S 50TH AVE
OAK LAWN IL 60453

Officer/Director/Trustee Two

AMIEE TAYLOR
CO-FOUNDER/CFO
8904 S 50TH AVE
OAK LAWN IL 60453

Officer/Director/Trustee Three

ALTHEA WALKER
CO-FOUNDER
3941 SAVANNAH RIDGE TRACE
LOGANVILLE GA 30052

Officer/Director/Trustee Four

KEISHA SYKES
DIRECTOR
8838 S ASHLAND
CHICAGO IL 60620

Officer/Director/Trustee Five

RONDELL MASON
DIRECTOR
8028 S PULAINA
CHICAGO IL 60620

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2017
Organization Incorporation State IL
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 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
Signature Title
Signature Date

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