FORM 1023-EZ for NEKHO PATIENT CARING FUND INC

Field Data
EIN 81-5414016
Case Number EO-2017093-000149
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEKHO PATIENT CARING FUND INC
Organization’s Mailing Address PO BOX 838
City NEWPORT
State VT
ZIP 05855-0838
Accounting period End 12
Primary contact name DANIELLE WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE LOCKRIDGE
PRESIDENT/PRESIDING DIRECTOR
637 UNION STREET
NEWPORT VT 05855-5498

Officer/Director/Trustee Two

DANIELLE WRIGHT
TREASURER/DIRECTOR
637 UNION STREET
NEWPORT VT 05855-5498

Officer/Director/Trustee Three

JAMES JARVIS
SECRETARY/DIRECTOR
PO BOX 414
BARTON VT 05822-0414

Officer/Director/Trustee Four

BONITA SHATTUCK
ASSISTANT SECRETARY/DIRECTOR
727 DUMAS ROAD
DERBY VT 05829-9607

Officer/Director/Trustee Five

JENNIFER COOK
ASSISTANT TREASURER/DIRECTOR
1784 VT RT 105
NEWPORT VT 05855-9926

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2016
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E86 - Patient Services - Entertainment, Recreation
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
Signature Title
Signature Date

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