FORM 1023-EZ for THE NHWGA CHARITABLE FOUNDATION

Field Data
EIN 82-4911274
Case Number EO-2019254-000297
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE NHWGA CHARITABLE FOUNDATION
Organization’s Mailing Address PO BOX 1566
City DERRY
State NH
ZIP 3038
Accounting period End 12
Primary contact name DORENE BERGERON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORENE BERGERON
PRESIDENT DIRECTOR
65 SCOBIE POND ROAD
DERRY NH 3038

Officer/Director/Trustee Two

MARY JANE CORMIER
DIRECTOR
4 WYNDMERE DRIVE
LONDONDERRY NH 3053

Officer/Director/Trustee Three

CHRISTINE DOWNALL
SECRETARY DIRECTOR
81A COURT STREET
EXETER NH 3833

Officer/Director/Trustee Four

NANCY RHEINHARDT
DIRECTOR
80 FOOTE ROAD
BOW NH 3304

Officer/Director/Trustee Five

ELIZABETH HARRITY
DIRECTOR
PO BOX 412
NORTH HAMPTON NH 3862

Organization’s website HTTP://NHWGA.FOUNDATION@NHWGA.ORG
Organization’s email NHWGACHARITABLEFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/18
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
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 No
Correctness Declaration Yes
Signature Name DORENE BERGERON
Signature Title PRESIDENT DIRECTOR
Signature Date 9/9/19

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