FORM 1023-EZ for HEROES RETREAT INC

Field Data
EIN 82-1818251
Case Number EO-2017201-000388
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEROES RETREAT INC
Organization’s Mailing Address 40544 SAN FRANCISQUITO CANYON ROAD
City GREEN VALLEY
State CA
ZIP 91390
Accounting period End 12
Primary contact name ZECHARIAH FALCON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZECHARIAH FALCON
BOARD CHAIR/PRESIDENT
40544 SAN FRANCISQUITO CYN RD NO 2
GREEN VALLEY CA 91390

Officer/Director/Trustee Two

CHRISTIANA STEWART
SECRETARY
40544 SAN FRANCISQUITO CYN RD NO 2
GREEN VALLEY CA 91390

Officer/Director/Trustee Three

FRANK BLACKWELL
BOARD VICE-CHAIR
20704 DAN CT
CANYON COUNTRY CA 91350

Officer/Director/Trustee Four

ALEXI COPPINGER
TREASURER
40544 SAN FRANCISQUITO CYN RD NO 1
GREEN VALLEY CA 91390

Organization’s website WWW.HEROESRETREAT.ORG
Organization’s email FALCON@HEROESRETREAT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2017
Organization Incorporation State CA
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: 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 Yes
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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