FORM 1023-EZ for REGENER8TIVE

Field Data
EIN 83-2118452
Case Number EO-2020017-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REGENER8TIVE
Organization’s Mailing Address 5200 N LISA LN
City LAS VEGAS
State NV
ZIP 89149-4646
Accounting period End 12
Primary contact name ROSALIE BINGHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSALIE BINGHAM
EXECUTIVE DIRECTOR
5200 N LISA LN
LAS VEGAS NV 89149-4646

Officer/Director/Trustee Two

MARSHA LEASON
SECRETARY
7840 VILLA FINESTRA DR
LAS VEGAS NV 89128

Officer/Director/Trustee Three

THOMAS WHEELER
TREASURER
5825 N JULIANO
LAS VEGAS NV 89149-4646

Officer/Director/Trustee Four

HALLEY MORGAN
DIRECTOR
1505 N CANYON RD
PROVO UT 84606

Officer/Director/Trustee Five

BRITTON ALLEN
DIRECTOR
9931 HYATT RESORT DR
SAN ANTONIO TX 78251

Organization’s website WWW.LOCALSPARX.COM
Organization’s email ROSALIE@REGENER8TIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2018
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C02 - Management & Technical Assistance
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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 ROSALIE BINGHAM
Signature Title EXECUTIVE DIRECTOR
Signature Date 1/15/2020

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