FORM 1023-EZ for REHAB NEPAL INCORPORATED

Field Data
EIN 81-0891005
Case Number EO-2017136-000179
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REHAB NEPAL INCORPORATED
Organization’s Mailing Address 64 TEDESCO ST
City MARBLEHEAD
State MA
ZIP 01945
Accounting period End 12
Primary contact name PATRICIA SULLIVAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA SULLIVAN
PRESIDENT/DIRECTOR
64 TEDESCO ST
MARBLEHEAD MA 01945

Officer/Director/Trustee Two

JUDY DUNLOP
TREASURER/DIRECTOR
84 CLIFTON AVE
MARBLEHEAD MA 01945

Officer/Director/Trustee Three

NANCY DEMUTH
SECRETARY/DIRECTOR
64 TEDESCO ST
MARBLEHEAD MA 01945

Officer/Director/Trustee Four

MARGO MALONEY
CLERK/DIRECTOR
11 COURT LANE
IPSWICH MA 01938

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2015
Organization Incorporation State MA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E50 - Rehabilitative Medical Services
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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