FORM 1023-EZ for TYLER HAYMORE MEMORIAL SCHOLARSHIPFOUNDATION INC
| Field | Data |
|---|---|
| EIN | 82-5204998 |
| Case Number | EO-2018197-000490 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TYLER HAYMORE MEMORIAL SCHOLARSHIPFOUNDATION INC |
| Organization’s Mailing Address | 2672 RED BUD LANE |
| City | YUBA CITY |
| State | CA |
| ZIP | 95993 |
| Accounting period End | 12 |
| Primary contact name | TERRI ERWIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TERRI ERWIN
BOARD MEMBER AND SECRETARY
1116 48TH STREET
SACRAMENTO CA 95819
Officer/Director/Trustee Two
KELLY HAYMORE
BOARD MEMBER AND TREASURER
2564 RED BUD LANE
YUBA CITY CA 95993
Officer/Director/Trustee Three
CAMERON HAYMORE
CHAIRMAN OF THE BOARD
2672 RED BUD LANE
YUBA CITY CA 95993
Officer/Director/Trustee Four
KYLE ONEAL
VICE CHAIRMAN OF THE BOARD
2568 IMPERIAL WAY
YUBA CITY CA 95993
Officer/Director/Trustee Five
DAN ONTIVEROS
BOARD MEMBER
5507 AMNEST WAY
SACRAMENTO CA 95835
| Organization’s website | WWW.TYLERHAYMOREMEMORIALSCHOLARSHIP.ORG |
|---|---|
| Organization’s email | TERRIERWIN@ATT.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/27/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W99 - Public, Society Benefit - Multipurpose and Other N.E.C. |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TERRI ERWIN |
| Signature Title | BOARD MEMBER AND SECRETARY |
| Signature Date | 7/13/18 |
| EIN | 82-5204998 |
| Case Number | EO-2018197-000490 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TYLER HAYMORE MEMORIAL SCHOLARSHIP FOUNDATION INC |
| Organization’s Mailing Address | 2672 RED BUD LANE |
| City | YUBA CITY |
| State | CA |
| ZIP | 95993 |
| Accounting period End | 12 |
| Primary contact name | TERRI ERWIN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
TERRI ERWIN
BOARD MEMBER AND SECRETARY
1116 48TH STREET
SACRAMENTO CA 95819
Officer/Director/Trustee Two
KELLY HAYMORE
BOARD MEMBER AND TREASURER
2564 RED BUD LANE
YUBA CITY CA 95993
Officer/Director/Trustee Three
CAMERON HAYMORE
CHAIRMAN OF THE BOARD
2672 RED BUD LANE
YUBA CITY CA 95993
Officer/Director/Trustee Four
KYLE ONEAL
VICE CHAIRMAN OF THE BOARD
2568 IMPERIAL WAY
YUBA CITY CA 95993
Officer/Director/Trustee Five
DAN ONTIVEROS
BOARD MEMBER
5507 AMNEST WAY
SACRAMENTO CA 95835
| Organization’s website | WWW.TYLERHAYMOREMEMORIALSCHOLARSHIP.ORG |
|---|---|
| Organization’s email | TERRIERWIN@ATT.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/27/18 |
| Organization Incorporation State | CA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W99 - Public, Society Benefit - Multipurpose and Other N.E.C. |
| 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | TERRI ERWIN |
| Signature Title | BOARD MEMBER AND SECRETARY |
| Signature Date | 7/13/18 |
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