FORM 1023-EZ for HAMPSHIRE SCHOOL FOUNDATION

Field Data
EIN 82-0734982
Case Number EO-2017212-000456
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAMPSHIRE SCHOOL FOUNDATION
Organization’s Mailing Address 4235 OLD STATE ROAD
City HAMPSHIRE
State TN
ZIP 38461-4583
Accounting period End 6
Primary contact name STEPHEN WORLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN WORLEY
CHAIRMAN
4631 DRY FORK ROAD
HAMPSHIRE TN 38461-4583

Officer/Director/Trustee Two

REBECCA HAMM
TRUSTEE
361 KEG SPRINGS ROAD
HAMPSHIRE TN 38461-5028

Officer/Director/Trustee Three

MELINDA GUETTNER
TRUSTEE
4197 OLD STATE ROAD
HAMPSHIRE TN 38461-4536

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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