FORM 1023-EZ for VETERANS COUNCIL CLAY COUNTY FLORIDA INC

Field Data
EIN 86-1868391
Case Number EO-2021197-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERANS COUNCIL CLAY COUNTY FLORIDA INC
Organization’s Mailing Address 1015 ARTHUR MOORE DR
City GREEN COVE SPRINGS
State FL
ZIP 32043
Accounting period End 4
Primary contact name CHRISTOPHER LANHAM JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HARRY SILVERS
PRESIDENT
2620 COLD HARBOR CT
MIDDLEBURG FL 32068-6742

Officer/Director/Trustee Two

ANSIL LEWIS
VICE PRESIDENT
4283 GREAT EGRET WAY
MIDDLEBURG FL 32068-8762

Officer/Director/Trustee Three

JESSICA POLVIKOSKI
TREASURER
2775 HIDDEN WATERS DR
GREEN COVE SPRINGS FL 32043-9424

Officer/Director/Trustee Four

CHRISTOPHER LANHAM
SECRETARY
1015 ARTHUR MOORE DR
GREEN COVE SPRINGS FL 32043-9512

Organization’s website VCCCF.ORG
Organization’s email VETERANS.COUNCIL.CLAY.COUNTY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2021
Organization Incorporation State FL
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: 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 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 Yes
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 HARRY SILVERS
Signature Title PRESIDENT
Signature Date 7/14/2021

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