FORM 1023-EZ for HERGENROTHER FOUNDATION

Field Data
EIN 86-1251953
Case Number EO-2021064-000861
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERGENROTHER FOUNDATION
Organization’s Mailing Address 68 RANDALL STREET
City SOUTH BURLINGTON
State VT
ZIP 05403
Accounting period End 9
Primary contact name SARAH HERGENROTHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH HERGENROTHER
PRESIDENT
68 RANDALL STREET
SOUTH BURLINGTON VT 05403

Officer/Director/Trustee Two

HALLIE WARNER
VICE PRESIDENT
68 RANDALL STREET
SOUTH BURLINGTON VT 05403

Officer/Director/Trustee Three

AMY STEADMAN
SECRETARY/TREASURER
68 RANDALL STREET
SOUTH BURLINGTON VT 05403

Organization’s website www.hergenrotherfoundation.org
Organization’s email hergfoundation@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2020
Organization Incorporation State VT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SARAH HERGENROTHER
Signature Title PRESIDENT
Signature Date 1/6/2021

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