FORM 1023-EZ for APPSEC VILLAGE

Field Data
EIN 84-2360554
Case Number EO-2019350-000439
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name APPSEC VILLAGE
Organization’s Mailing Address 1715 DANBY LN
City GRAND RAPIDS
State MI
ZIP 49506
Accounting period End 12
Primary contact name NICHOLAS FARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EREZ YALON
EXECUTIVE DIRECTOR
1715 DANBY LN
GRAND RAPIDS MI 49506

Officer/Director/Trustee Two

LIORA HERMAN
TREASURER
1715 DANBY LN
GRAND RAPIDS MI 49503

Officer/Director/Trustee Three

NICHOLAS FARR
INCORPORATING DIRECTOR
1715 DANBY LN
GRAND RAPIDS MI 49503

Organization’s website HTTPS://WWW.APPSECVILLAGE.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2019
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H92 - Biomedicine, Bioengineering Research
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 NICHOLAS FARR
Signature Title INCORPORATING DIRECTOR
Signature Date 12/13/2019

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