FORM 1023-EZ for TY HART MEMORIAL SCHOLARSHIP

Field Data
EIN 81-1390204
Case Number EO-2020038-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TY HART MEMORIAL SCHOLARSHIP
Organization’s Mailing Address PO BOX 218
City STAYTON
State OR
ZIP 97383
Accounting period End 1
Primary contact name TRINA HART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRINA HART
DIRECTOR
PO BOX 218
STAYTON OR 97383

Officer/Director/Trustee Two

DIANA FLANIGAN
DIRECTOR
PO BOX 21207
KEIZER OR 97307

Organization’s website HARTSTRONG.ORG
Organization’s email SCHOLARSHIP@HARTSTRONG.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 DIANA FLANIGAN
Signature Title DIRECTOR
Signature Date 2/5/2020
EIN 81-1390204
Case Number EO-2016047-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TY HART MEMORIAL SCHOLARSHIP
Organization’s Mailing Address PO BOX 218
City STAYTON
State OR
ZIP 97383
Accounting period End 1
Primary contact name TRINA HART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRINA HART
PRESIDENT
9467 STAYTON RD SE
AUMSVILLE OR 97325

Officer/Director/Trustee Two

KRISTIN CHAPPELL
SECRETARY
4631 CAMPBELL DR SE APT 130
SALEM OR 97317

Officer/Director/Trustee Three

MICHAEL HART
BOARD MEMBER
9467 STAYTON RD SE
AUMSVILLE OR 97325

Officer/Director/Trustee Four

HANNA HART
BOARD MEMBER
9467 STAYTON RD SE
AUMSVILLE OR 97325

Organization’s website HARTSTRONG.ORG
Organization’s email TYHARTMEMORIALSCHOLARSHIP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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