FORM 1023-EZ for NEIGHBORHOOD RX INC

Field Data
EIN 83-1973271
Case Number EO-2018309-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEIGHBORHOOD RX INC
Organization’s Mailing Address 420 HUNTINGTON ST FLOOR1
City NEW HAVEN
State CT
ZIP 6511
Accounting period End 12
Primary contact name NINA FAWCETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NINA FAWCETT
PRESIDENT
420 HUNTINGTOIN ST FLOOR1
NEW HAVEN CT 6511

Officer/Director/Trustee Two

KYLE FAWCETT
VICE PRESIDENT
420 HUNTINGTOIN ST FIRST FLOOR
NEW HAVEN CT 6511

Officer/Director/Trustee Three

SAM FAWCETT
TREASURER
240 HUNTINGTON ST FLOOR 1
NEW HAVEN CT 6511

Officer/Director/Trustee Four

MICHAEL NAJPAUER
SECRETARY
167 FOUNTAIN B4
NEW HAVEN CT 6515

Officer/Director/Trustee Five

NINA FAWCETT
TRUSTEE
420 HUNTINGTON ST 1
NEW HAVEN CT 6511

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/18
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 NINA FAWCETT
Signature Title TRUSTEE
Signature Date 11/1/18

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