FORM 1023-EZ for OLD HOMOSASSA VETERANS MEMORIAL INC

Field Data
EIN 30-0680245
Case Number EO-2016130-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OLD HOMOSASSA VETERANS MEMORIAL INC
Organization’s Mailing Address 8565 W LONGFELLOW ST
City HOMOSASSA
State FL
ZIP 34448-1823
Accounting period End 12
Primary contact name RICHARD R BACHTEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHONA COOK
DIRECTOR
218 LINCOLN ST
FARRELL PA 16121

Officer/Director/Trustee Two

RICHARD BACHTEL
PRESIDENT
8565 W LONGFELLOW ST
HOMOSASSA FL 34448-1823

Officer/Director/Trustee Three

MARK LONG SR
TREASURER
6048 S SAINT MICHAEL PT
HOMOSASSA FL 34448

Organization’s website
Organization’s email RBACHTEL@TAMPABAY.RR.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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