FORM 1023-EZ for NECROTIZING FASCIITIS FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-2680940 |
| Case Number | EO-2017278-000319 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | NECROTIZING FASCIITIS FOUNDATION |
| Organization’s Mailing Address | 2019 KEENLAND PARKWAY |
| City | OWENSBORO |
| State | KY |
| ZIP | 42303-2848 |
| Accounting period End | 12 |
| Primary contact name | TIM HAYDEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TIM HAYDEN
CEO/ CHAIRMAN
2019 KEENLAND PKWY
OWENSBORO KY 42303
Officer/Director/Trustee Two
SARAH KLEIN
CFO
47 GLEN COVE DRIVE
GLENHEAD NY 11545
Officer/Director/Trustee Three
MELISSA SANDERS
COO
21814 MANOR COURT DRIVE
KATY TX 77449
Officer/Director/Trustee Four
JENNIFER BOROW
SECRETARY
3820 FAVERSHAM RD
CLEAVLAND OH 44118
Officer/Director/Trustee Five
ELICIA PECK
CIO
1250 EAST BOGARD ROAD
WACILLA AK 99854
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/5/2017 |
| 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: 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 | Yes |
| 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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