FORM 1023-EZ for REGIONAL HEALTHCARE SYSTEMS CORP

Field Data
EIN 84-4123906
Case Number EO-2020016-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REGIONAL HEALTHCARE SYSTEMS CORP
Organization’s Mailing Address PO BOX 187
City HARVARD
State IL
ZIP 60033
Accounting period End 12
Primary contact name RYAN KURTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN KURTH
PRESIDENT/DIRECTOR
306 FRONT ST
HARVARD IL 60033

Officer/Director/Trustee Two

JUSTEN KURTH
TREASURER/DIRECTOR
306 FRONT STREET
HARVARD IL 60033

Officer/Director/Trustee Three

MIKE VEST
SECRETARY/DIRECTOR
306 FRONT STREET
HARVARD IL 60033

Organization’s website
Organization’s email RKURTH@NWRESUE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 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 RYAN KURTH
Signature Title PRESIDENT/DIRECTOR
Signature Date 1/14/2020

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