FORM 1023-EZ for TAOS HEALTH LAW ROUNDTABLE

Field Data
EIN 84-3286739
Case Number EO-2021035-000149
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TAOS HEALTH LAW ROUNDTABLE
Organization’s Mailing Address 6100 UPTOWN BLVD NE STE 400
City ALBUQUERQUE
State NM
ZIP 87110
Accounting period End 12
Primary contact name STEFAN CHACON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEFAN CHACON
PRESIDENT
6100 UPTOWN BLVD NE STE 400
ALBUQUERQUE NM 87110

Officer/Director/Trustee Two

ADRIENNE DRESEVIC
SECRETARY
6100 UPTOWN BLVD NE STE 400
ALBUQUERQUE NM 87110

Officer/Director/Trustee Three

DAVID JOHNSON
VICE PRESIDENT
6100 UPTOWN BLVD NE STE 400
ALBUQUERQUE NM 87110

Officer/Director/Trustee Four

DAVID DOUGLASS
TREASURER
6100 UPTOWN BLVD NE STE 400
ALBUQUERQUE NM 87110

Officer/Director/Trustee Five

CLINTON MIKEL
DIRECTOR
6100 UPTOWN BLVD NE STE 400
ALBUQUERQUE NM 87110

Organization’s website HEALTHLAWROUNDTABLE.COM
Organization’s email SRC@SUTINFIRM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2019
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 No
One Third Support Public No
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 STEFAN CHACON
Signature Title PRESIDENT
Signature Date 12/16/2020

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