FORM 1023-EZ for TYLER WENTZ MEMORIAL FUND

Field Data
EIN 81-4034816
Case Number EO-2017125-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TYLER WENTZ MEMORIAL FUND
Organization’s Mailing Address 12510 EVANSDALE ROAD
City HENRICO
State VA
ZIP 23233
Accounting period End 12
Primary contact name MICHELLE WENTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE WENTZ
PRESIDENT
12510 EVANSDALE ROAD
HENRICO VA 23233

Officer/Director/Trustee Two

TREY WENTZ
TREASURER/SECRETARY
12510 EVANSDALE ROAD
HENRICO VA 23233

Officer/Director/Trustee Three

BRIAN HESS
DIRECTOR
2153 KELLY RIDGE ROAD
HENRICO VA 23233

Officer/Director/Trustee Four

STEPHANIE SEAY
DIRECTOR
12402 PLEASANT RUN TERRACE
RICHMOND VA 23233

Officer/Director/Trustee Five

MARK TYLER
DIRECTOR
13324 COLLEGE VALLEY LANE
RICHMOND VA 23233

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2017
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 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
Signature Title
Signature Date

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