FORM 1023-EZ for VOLUNTEERS IN MEDICINE OF NEW HAMPSHIRE

Field Data
EIN 86-2555218
Case Number EO-2021102-000815
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VOLUNTEERS IN MEDICINE OF NEW HAMPSHIRE
Organization’s Mailing Address 49 MEADOW RD
City NEWFIELDS
State NH
ZIP 03856
Accounting period End 12
Primary contact name REIKO JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REIKO JOHNSON
PRESIDENT
49 MEADOW RD
NEWFIELDS NH 03856

Officer/Director/Trustee Two

DAWN BROAD
TREASURER
66 BLACKSTONE DRIVE
RAYJMOND NH 03077

Officer/Director/Trustee Three

BRENDA RESILLAS
SECRETARY
4 BEECHSTONE APT 1
PORTSMOUTH NH 03801

Officer/Director/Trustee Four

CHRISTINE RICHARDSON
DIRECTOR
4 SILAS ROCK DR
LONDONDERRY NH 03053

Officer/Director/Trustee Five

MIA KOLNOVELCHICK
DIRECTOR
8 WHITTEMORE DR
LITCHFIELD NH 03052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2021
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 Yes
Correctness Declaration Yes
Signature Name REIKO JOHNSON
Signature Title PRESIDENT
Signature Date 4/2/2021

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