FORM 1023-EZ for LAS VEGAS HOSPITAL AND INSTITUTIONCOMMITTEE INCORPORATED

Field Data
EIN 84-4927680
Case Number EO-2021148-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAS VEGAS HOSPITAL AND INSTITUTIONCOMMITTEE INCORPORATED
Organization’s Mailing Address 3870 E FLAMINGO RD A2 405
City LAS VEGAS
State NV
ZIP 89121-6241
Accounting period End 12
Primary contact name DAVID WERNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN VANEK
PRES & DIR & CHAIRMAN
3151 COMITAN LN
LAS VEGAS NV 89122

Officer/Director/Trustee Two

DAVID WERNER
TREASURER
4275 WHITE SANDS AVE
LAS VEGAS NV 89121

Officer/Director/Trustee Three

DENA BECK
SECRETARY
1603 LEFTY GARICA WAY
HENDERSON NV 89002

Officer/Director/Trustee Four

ROBERT JENKINS
DIRECTOR
5250 S RAINBOW BLVD UNIT 1074
LAS VEGAS NV 89118

Organization’s website
Organization’s email LASVEGASHANDI@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2020
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALAN VANEK
Signature Title PRES & DIR & CHAIRMAN
Signature Date 5/20/2021

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