FORM 1023-EZ for NATIONAL HOSPICE REGATTA ALIANCE INCORPORATED

Field Data
EIN 54-1923292
Case Number EO-2019105-000494
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL HOSPICE REGATTA ALIANCE INCORPORATED
Organization’s Mailing Address 6841 ELM STREET
City MCLEAN
State VA
ZIP 22101-1054
Accounting period End 12
Primary contact name JEAN KLUTTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK LENEAVE
PRESIDENT
335 ABLE ROAD
BENTON KY 42025-6464

Officer/Director/Trustee Two

HAROLD TOMLINSON
VICE PRESIDENT
429 DEVILS LANE
BALLSTON SPA NY 12020-3415

Officer/Director/Trustee Three

WILLIAM NORTHWOOD
SECRETARY
132 WILLOWBEND ROAD
ROCHESTER NY 14618-4030

Officer/Director/Trustee Four

JEAN KLUTTZ
TREASURER
1879 AMBERWOOD MANOR CT
VIENNA VA 22182-3102

Officer/Director/Trustee Five

PETER HRABCHAK
DIRECTOR
19679 SOUTH SHORE ROAD
DEXTER NY 13634-2037

Organization’s website WWW.HOSPICEREGATTAS.ORG
Organization’s email NHRA@HOSPICEREGATTAS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/98
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEAN KLUTTZ
Signature Title TREASURER
Signature Date 4/12/19

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