FORM 1023-EZ for VETERAN CHIROPRACTIC SERVICES INC

Field Data
EIN 83-0898933
Case Number EO-2018178-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERAN CHIROPRACTIC SERVICES INC
Organization’s Mailing Address 4063 N GOLDENROD RD STE 1
City WINTER PARK
State FL
ZIP 32792
Accounting period End 12
Primary contact name AHITSHA ORTIZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AHITSHA ORTIZ
PRESIDENT, DIRECTOR
7927 BEAR CLAW RUN
ORLANDO FL 32825

Officer/Director/Trustee Two

VLADIMIR ORTIZ
SECRETARY, DIRECTOR
24416 SW 61ST PL
NEWBERRY FL 32669

Officer/Director/Trustee Three

BARBARA PEREZ
TREASURER, DIRECTOR
301 SPRING VALLEY RD APT B
LAURELDALE PA 19605

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 AHITSHA ORTIZ
Signature Title PRESIDENT, DIRECTOR
Signature Date 6/25/18

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