FORM 1023-EZ for HUMAN HERO FOUNDATION

Field Data
EIN 81-3209376
Case Number EO-2016259-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HUMAN HERO FOUNDATION
Organization’s Mailing Address 1000 N 1ST STREET UNIT 3
City DEKALB
State IL
ZIP 60115
Accounting period End 3
Primary contact name JARED CROSLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARED CROSLOW
PRESIDENT
1000 N 1ST STREET UNIT 3
DEKALB IL 60115

Officer/Director/Trustee Two

KELLY FINET
SECRETARY/TREASURER
1000 N 1ST STREET UNIT 3
DEKALB IL 60115

Officer/Director/Trustee Three

KATHRYN SNYDER
DIRECTOR
1000 N 1ST STREET UNIT 3
DEKALB IL 60115

Organization’s website HUMANHERO.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research 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
Signature Title
Signature Date

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