FORM 1023-EZ for TELL MY STORY INC

Field Data
EIN 46-2868957
Case Number EO-2016063-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TELL MY STORY INC
Organization’s Mailing Address 1312 W HAYWARD AVE
City PHOENIX
State AZ
ZIP 85021-7153
Accounting period End 5
Primary contact name BARBARA GAY EGBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA EGBERT
CHAIRMAN, DIRECTOR
1312 W HAYWARD AVE
PHOENIX AZ 85021-7153

Officer/Director/Trustee Two

MADELEINE HETTINGER
PRESIDENT, DIRECTOR
1797 CALIFORNIA STREET APT 14
MOUNTAIN VIEW CA 94041

Officer/Director/Trustee Three

KENNA NIELSON
TREASURER
18250 N 25TH AVE 3040
PHOENIX AZ 85023

Officer/Director/Trustee Four

SAMUEL HETTINGER
DIRECTOR
1312 W HAYWARD AVE
PHOENIX AZ 85021-7153

Organization’s website
Organization’s email TELLMYSTORYINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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
EIN 46-2868957
Case Number EO-2014295-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TELL MY STORY INC
Organization’s Mailing Address 1312 W HAYWARD AVE
City PHOENIX
State AZ
ZIP 85021
Accounting period End 5
Primary contact name BARBARA GAY EGBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BARBARA EGBERT
PRESIDENT
1312 W HAYWARD AVE
PHOENIX AZ 85021

Officer/Director/Trustee Two

MADELEINE HETTINGER
PRESIDENT/DIRECTOR
1312 W HAYWARD AVE
PHOENIX AZ 85021

Officer/Director/Trustee Three

KATHY JACKA
TREASURER
8031 N 9TH AVE
PHOENIX AZ 85021

Organization’s website
Organization’s email TELLMYSTORYINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/2013
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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