FORM 1023-EZ for THE TINY HOME VILLAGE

Field Data
EIN 81-3177408
Case Number EO-2016210-000653
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE TINY HOME VILLAGE
Organization’s Mailing Address 162 PROWS RD
City FRIENDSVILLE
State TN
ZIP 37737
Accounting period End 12
Primary contact name SHAWNA M SOLMEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN LEE
DIRECTOR
2920 KENDRA DR
LOUISVILLE TN 37777

Officer/Director/Trustee Two

CHRISTIAN WRIGHT
DIRECTOR
506 JACKSON AVE
MARYVILLE TN 37804

Officer/Director/Trustee Three

SHAWNA SOLMEN
DIRECTOR/TREASURER
162 PROWS RD
FRIENDSVILLE TN 37737

Officer/Director/Trustee Four

MICHELLE WRIGHT
SECRETARY
506 JACOSN AVE
MARYVILLE TN 37804

Officer/Director/Trustee Five

MICHAEL SOLMEN
PRESIDENT
162 PROWS RD
FRIENDSVILLE TN 37737

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L41 - Homeless, Temporary Shelter For
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 Yes
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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