FORM 1023-EZ for NCHB-5 ASSOCIATION

Field Data
EIN 85-1946931
Case Number EO-2020199-000238
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NCHB-5 ASSOCIATION
Organization’s Mailing Address 2713 FREDERICKSBURG ROAD
City HANOVER
State MD
ZIP 21076
Accounting period End 12
Primary contact name JAMES MCNEAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY JOHNSON
CHAIR
8806 W DESCHUTES AVE
KENNEWICK WA 99336

Officer/Director/Trustee Two

JAMES MCNEAL
VICE CHAIR
2713 FREDERICKSBURG ROAD
HANOVER MD 21076

Officer/Director/Trustee Three

DAWNELLE DONOVAN-COPEMAN
SECRETARY
4711 N DALLAS RD E101
WEST RICHLAND WA 99353

Officer/Director/Trustee Four

TERRY MORTON
TREASURER
3146 VAN BELLE RD
OUTLOOK WA 98938

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q03 - Professional Societies, Associations
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 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 JAMES MCNEAL
Signature Title VICE CHAIR
Signature Date 7/15/2020

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