FORM 1023-EZ for VETERAN AND COMMUNITY CARE

Field Data
EIN 84-2949668
Case Number EO-2019252-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VETERAN AND COMMUNITY CARE
Organization’s Mailing Address 1100 BLACK ROAD
City DANDRIDGE
State TN
ZIP 37725-5077
Accounting period End 12
Primary contact name TONY HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE ROFF
PRESIDENT
1100 BLACK RD
DANDRIDGE TN 37725-5077

Officer/Director/Trustee Two

BRIDGETT REAGAN
VICE-PRESIDENT
889 GUY COLLINS RD
MORRISTOWN TN 37813

Officer/Director/Trustee Three

JESSICA ROFF
TREASURER
1100 BLACK RD
DANDRIDGE TN 37725-5077

Officer/Director/Trustee Four

THERESA BECKLEY
SECRETARY
1727 CORRAL LANE
DANDRIDGE TN 37725

Officer/Director/Trustee Five

JENNIFER KOROWAJ
AT-LARGE
1441 DEEP SPRINGS RD
DANDRIDGE TN 37725

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 BRUCE ROFF
Signature Title PRESIDENT
Signature Date 9/5/19

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