FORM 1023-EZ for GARDENS TO HOSPITALS CHARITABLE FUND

Field Data
EIN 46-2328215
Case Number EO-2015072-000748
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GARDENS TO HOSPITALS CHARITABLE FUND
Organization’s Mailing Address 4455 HUCKLEBERRY DRIVE BOX 987
City CARNELIAN BAY
State CA
ZIP 96140
Accounting period End 12
Primary contact name MARK GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK GRIFFIN
EXECUTIVE DIRECTOR
4455 HUCKLEBERRY DRIVE BOX 987
CARNELIAN BAY CA 96140

Officer/Director/Trustee Two

LISA BOUDREAU
DIRECTOR
4455 HUCKLEBERRY DRIVE BOX 987
CARNELIAN BAY CA 96140

Officer/Director/Trustee Three

SUSAN SUPHIN
DIRECTOR
PO BOX 1176
TRUCKEE CA 96160

Officer/Director/Trustee Four

NILS MICHAEL LANGENBORG
DIRECTOR
4961 CHARMIAN DRIVE
SANTA ROSA CA 95409

Organization’s website GARDENSTOHOSPITALS.ORG
Organization’s email MARK@GARDENSTOHOSPITALS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2012
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K20 - Agricultural 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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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
Signature Title
Signature Date

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