FORM 1023-EZ for TRANSFORMATIVE HEALTHCARE FOUNDATION OF NORTHERN NEW ENGLAND
| Field | Data |
|---|---|
| EIN | 85-1503799 |
| Case Number | EO-2021106-000203 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TRANSFORMATIVE HEALTHCARE FOUNDATION OF NORTHERN NEW ENGLAND |
| Organization’s Mailing Address | 20 FOUNDRY AVENUE |
| City | MEREDITH |
| State | NH |
| ZIP | 03253 |
| Accounting period End | 5 |
| Primary contact name | LEIGH S WILLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JUSTIN M VAN ETTEN
DIRECTOR
20 FOUNDRY AVENUE
MEREDITH NH 03253
Officer/Director/Trustee Two
CHARLES LELON
DIRECTOR
8 EDGE HILL ROAD
WLLESLEY MA 02481
Officer/Director/Trustee Three
THOMAS LAVIN
DIRECTOR
319 WESTERN AVENUE
SHERBORN MA 01770
Officer/Director/Trustee Four
STACY MEIER
DIRECTOR
52 JOSHUAS LANE
THORNTON NH 03285
Officer/Director/Trustee Five
MARC BARD
DIRECTOR
44 WESTWIND SHORES ROAD
HOLDERNESS NH 03245
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/8/2020 |
| Organization Incorporation State | NH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| 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 | JUSTIN M VAN ETTEN |
| Signature Title | DIRECTOR |
| Signature Date | 4/14/2021 |
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