FORM 1023-EZ for YOUR TINY FARM

Field Data
EIN 84-1833386
Case Number EO-2019143-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name YOUR TINY FARM
Organization’s Mailing Address 116 RENZ LN
City GEYSERVILLE
State CA
ZIP 95441
Accounting period End 12
Primary contact name TIMOTHY HYLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROLYN LEWIS
PRESIDENT / EXECUTIVE DIRECTOR
116 RENZ LN
GEYSERVILLE CA 95441

Officer/Director/Trustee Two

TIMOTHY HYLAS
SECRETARY / TREASURER
116 RENZ LN
GEYSERVILLE CA 95441

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 TIMOTHY HYLAS
Signature Title SECRETARY / TREASURER
Signature Date 5/21/19

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