FORM 1023-EZ for THE TINY STAR FOUNDATION

Field Data
EIN 84-4630995
Case Number EO-2020071-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE TINY STAR FOUNDATION
Organization’s Mailing Address 5 DRAKE COURT
City BOONTON TWP
State NJ
ZIP 07005-9040
Accounting period End 12
Primary contact name KAREN CARBONELLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KAREN CARBONELLO
PRESIDENT AND CHAIR
5 DRAKE COURT
BOONTON TWP NJ 07005-9040

Officer/Director/Trustee Two

GAYLE CARLSON
TREASURER
18 WEAVER PL
EAST HANOVER NJ 07936-1434

Officer/Director/Trustee Three

DONNA ORR
SECRETARY
19469 EAGLE RIDGE LANE
PORTER RANCH CA 91326-3802

Organization’s website
Organization’s email K.CARBONELLO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/2020
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 KAREN CARBONELLO
Signature Title PRESIDENT AND CHAIR
Signature Date 3/9/2020

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