FORM 1023-EZ for JH HOSPICE MEMORIAL FUND INC

Field Data
EIN 87-1139402
Case Number EO-2021165-000695
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JH HOSPICE MEMORIAL FUND INC
Organization’s Mailing Address 4100 INTERNATIONAL PLAZA STE 750
City FORT WORTH
State TX
ZIP 76109
Accounting period End 12
Primary contact name KARA L CRAIG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STACIE BRATCHER
PRESIDENT
4100 INTERNATIONAL PLAZA STE 750
FORT WORTH TX 76109

Officer/Director/Trustee Two

JIM DOUTHITT
TREASURER
4100 INTERNATIONAL PLAZA STE 750
FORT WORTH TX 76109

Officer/Director/Trustee Three

MELISSA HEISS
VICE PRESIDENT
4100 INTERNATIONAL PLAZA STE 750
FORT WORTH TX 76109

Officer/Director/Trustee Four

KARA CRAIG
SECRETARY
12400 W OVERLAND ROAD STE 100
BOISE ID 83709

Organization’s website NOT YET AVAILABLE
Organization’s email KCRAIG@FIRSTCHOICEBOISE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2021
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P74 - Hospice
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 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 KARA CRAIG
Signature Title SECRETARY
Signature Date 6/11/2021

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