FORM 1023-EZ for THE TIM HYNES FOUNDATION

Field Data
EIN 46-4593982
Case Number EO-2015351-000326
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE TIM HYNES FOUNDATION
Organization’s Mailing Address 12 NEWMARKET RD
City WARNER
State NH
ZIP 03278
Accounting period End 12
Primary contact name MONICA NEWMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN CLARK
BOARD MEMBER
12900 TREATY LINE ST
CARMEL IN 46032

Officer/Director/Trustee Two

JONATHAN GRYNIUK
BOARD MEMBER
6368 LANCASTER AVE
CASTLE ROCK CO 80104-3279

Officer/Director/Trustee Three

CHRISTOPHER HALL
BOARD MEMBER
713 ISHERWOOD DR
CENTRAL POINT OR 97502

Officer/Director/Trustee Four

JAMIE HYNES KINDER
BOARD MEMBER
14028 SOUTH OLD DOBBIN LANE
DRAPER UT 84020

Officer/Director/Trustee Five

MONICA NEWMAN
BOARD MEMBER
4835 RIVEREDGE COVE
SNELLVILLE GA 30039

Organization’s website HTTP://TIMHYNESFOUNDATION.ORG
Organization’s email INFO@TIMHYNESFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2014
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 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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