FORM 1023-EZ for NATHAN LEAF FOUNDATION FOR PATIENT ADVOCACY INC
| Field | Data |
|---|---|
| EIN | 82-3516651 |
| Case Number | EO-2018100-000020 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NATHAN LEAF FOUNDATION FOR PATIENT ADVOCACY INC |
| Organization’s Mailing Address | 116 BLOWING TREE DRIVE |
| City | GEORGETOWN |
| State | MA |
| ZIP | 40324-8034 |
| Accounting period End | 3 |
| Primary contact name | DIANE LEAF |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DIANE LEAF
CEO
5 AZALEA WAY
BELCHERTOWN MA 1007-9166
Officer/Director/Trustee Two
FRANCIS LEAF
CAO
5 AZALEA WAY
BELCHERTOWN MA 1007-9166
Officer/Director/Trustee Three
NANCY RECTOR
COO
116 BLOWING TREE DRIVE
GEORGETOWN KY 40324-8034
Officer/Director/Trustee Four
HUGH RECTOR
SR. VP VETERANS AFFAIRS
116 BLOWING TREE DRIVE
GEORGETOWN KY 40324-8034
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/28/17 |
| Organization Incorporation State | KY |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G01 - Alliance/Advocacy Organizations |
| 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 | DIANE LEAF |
| Signature Title | CEO |
| Signature Date | 4/5/18 |
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