FORM 1023-EZ for PINK REVOLUTION BREAST CANCER ALLIANCE OF NH CORPORATION
| Field | Data |
|---|---|
| EIN | 86-3155107 |
| Case Number | EO-2021228-000560 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PINK REVOLUTION BREAST CANCER ALLIANCE OF NH CORPORATION |
| Organization’s Mailing Address | 5 MUSCATANIPUS ROAD |
| City | BROOKLINE |
| State | NH |
| ZIP | 03033 |
| Accounting period End | 12 |
| Primary contact name | LAUREN CAULFIELD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
LAUREN CAULFIELD
PRESIDENT
5 MUSCATANIPUS RD
BROOKLINE NH 03033
Officer/Director/Trustee Two
RONDA CHRYSTAL
VICE PRESIDENT
14 BEN FARNSWORTH RD
BROOKLINE NH 03033
Officer/Director/Trustee Three
KATHLEEN HESSELTINE
TREASURER
303 MASON RD
MILFORD NH 03055
Officer/Director/Trustee Four
MICHELLE AGRELLA
MEMBER
46 ELMWOOD RD
LONDONDERRY NH 03053
Officer/Director/Trustee Five
SUSAN MABBETT
MEMBER
135 UNION STREET
MILFORD NH 03055
| Organization’s website | PINKREVOLUTIONOFNH.ORG |
|---|---|
| Organization’s email | PINKREVOLUTIONOFNH@CHARTER.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/3/2021 |
| Organization Incorporation State | NH |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P12 - 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 | 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 | RONDA CHRYSTAL |
| Signature Title | VICE PRESIDENT |
| Signature Date | 8/13/2021 |
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