FORM 1023-EZ for TYLER HOFLICH FOUNDATION

Field Data
EIN 84-3146281
Case Number EO-2019281-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TYLER HOFLICH FOUNDATION
Organization’s Mailing Address 761 S 5TH STREET
City JEFFERSON
State OR
ZIP 97352
Accounting period End 12
Primary contact name STEPHANIE FRANKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHANIE FRANKLIN
PRESIDENT
761 S 5TH STREET
JEFFERSON OR 97352

Officer/Director/Trustee Two

ASHLEY NEWTON-STEPHENS
SECRETARY
3240 23RD AVE SE
ALBANY OR 97322

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/19
Organization Incorporation State OR
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 Yes
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 STEPHANIE FRANKLIN
Signature Title PRESIDENT
Signature Date 10/3/19

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