FORM 1023-EZ for NEUROGENESIS FOR VETERANS THE INCARCERATED AND THEIR FAMILIES
| Field | Data |
|---|---|
| EIN | 85-0642931 |
| Case Number | EO-2020118-000551 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NEUROGENESIS FOR VETERANS THE INCARCERATED AND THEIR FAMILIES |
| Organization’s Mailing Address | PO BOX 3425 |
| City | CORPUS CHRISTI |
| State | TX |
| ZIP | 78463 |
| Accounting period End | 6 |
| Primary contact name | CLIFFORD KRCHA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CLIFFORD KRCHA
PRESIDENT
444 ATLANTIC ST
CORPUS CHRISTI TX 78404
Officer/Director/Trustee Two
RHONDA HENSLEY
VICE PRESIDENT
340 WAVERLY DRIVE
CORPUS CHRISTI TX 78412
Officer/Director/Trustee Three
KEN FAUGHN
TREASURER
14657 RED RIVER DRIVE
CORPUS CHRISTI TX 78410
Officer/Director/Trustee Four
CHIVARIAK KHUS
SECRETARY
5902 FOREST RIM STREET
SAN ANTONIO TX 78240
Officer/Director/Trustee Five
RALPH GREENLEE
DOCTOR
PO BOX 3411
FREDERICKSBURG TX 78624
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/12/2020 |
| Organization Incorporation State | TX |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F32 - Community Mental Health Center |
| 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 | 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 | CLIFFORD KRCHA |
| Signature Title | PRESIDENT |
| Signature Date | 4/25/2020 |
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