FORM 1023-EZ for RUSSELLVILLE HOSPITAL FOUNDATION INC
| Field | Data |
|---|---|
| EIN | 85-4263952 |
| Case Number | EO-2021028-000278 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | RUSSELLVILLE HOSPITAL FOUNDATION INC |
| Organization’s Mailing Address | 15155 HWY 43 |
| City | RUSSELLVILLE |
| State | AL |
| ZIP | 35653 |
| Accounting period End | 12 |
| Primary contact name | ASHOKE MUKHERJI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KIM CLONTS
DIRECTOR
24 SIGNORE DR
RUSSELLVILLE AL 35653
Officer/Director/Trustee Two
CHRIS WALLACE
DIRECTOR
194 GRAY RD
RUSSELLVILLE AL 35653
Officer/Director/Trustee Three
BRENDA OLIVER
DIRECTOR
1713 WILSON BLVD
RUSSELLVILLE AL 35653
Officer/Director/Trustee Four
MICHELLE SIBLEY
DIRECTOR
264 LAURELWOOD DR
RUSSELLVILLE AL 35653
Officer/Director/Trustee Five
ASHOKE MUKHERJI
OFFICER
823 TYNE VALLEY COURT
NASHVILLE TN 37220
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/13/2020 |
| Organization Incorporation State | TN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E02 - Management & Technical Assistance |
| 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 | No |
| 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 | ASHOKE MUKHERJI |
| Signature Title | OFFICER |
| Signature Date | 12/14/2020 |
Recently Saved Organizations
Click on the save icon from a search results or organization page.
Advertisement
