FORM 1023-EZ for LOST VETS INC

Field Data
EIN 47-4802307
Case Number EO-2016069-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOST VETS INC
Organization’s Mailing Address 371 RAYON DRIVE
City OLD HICKORY
State TN
ZIP 37138
Accounting period End 9
Primary contact name TINA BARBUTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TINA BARBUTO
PRESIDENT/SECRETARY
371 RAYON DRIVE
OLD HICKORY TN 37138

Officer/Director/Trustee Two

DEBORAH WARREN
VICE PRESIDENT/DIRECTOR
3746 ARMSTRONG RD
SPRINGFIELD TN 37172

Officer/Director/Trustee Three

WENDY CULVERHOUSE
TREASURER
114 GREEN MEADOW COURT
GREENBRIER TN 37073

Officer/Director/Trustee Four

LORI MCVEY
DIRECTOR
235 FOREST VIEW CR
HAYDEN AL 35079

Organization’s website WWW.LOSTVETS.COM
Organization’s email LOSTVETS.TINA@OUTLOOK.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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