FORM 1023-EZ for KINSLEY LYNCH FOUNDATION

Field Data
EIN 85-2481272
Case Number EO-2021089-000381
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KINSLEY LYNCH FOUNDATION
Organization’s Mailing Address 238
City CLARKSVILLE
State TN
ZIP 37043
Accounting period End 12
Primary contact name MELANIE HEIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANIE HEIM
DIRECTOR
238 JOHN DUKE TYLER BLVD
CLARKSVILLE TN 37043-1460

Officer/Director/Trustee Two

SHANNON HEIM
DIRECTOR
238 JOHN DUKE TYLER BLVD
CLARKSVILLE TN 37043

Officer/Director/Trustee Three

BRIONY LYNCH
DIRECTOR
238 JOHN DUKE TYLER BLVD
CLARKSVILLE TN 37043-1460

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2020
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MELANIE HEIM
Signature Title DIRECTOR
Signature Date 2/10/2021

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