FORM 1023-EZ for HATFIELD COMMUNITY MINDS AND MEMORIES FOUNDATION

Field Data
EIN 27-4166619
Case Number EO-2014303-000072
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HATFIELD COMMUNITY MINDS AND MEMORIES FOUNDATION
Organization’s Mailing Address 206 HENRY LANE
City HATFIELD
State AR
ZIP 71945
Accounting period End 12
Primary contact name KENNY MILLER JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KENNY MILLER JR
PRESIDENT
206 HENRY LN
HATFIELD AR 71945

Officer/Director/Trustee Two

BRANDON BURFORD
VICE PRESIDENT
441 POLK 38
HATFIELD AR 71945

Officer/Director/Trustee Three

CHASE HENRY
SECRETARY
188 POLK 26
HATFIELD AR 71945

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/2010
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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