FORM 1023-EZ for MOLECULAR HYDROGEN INSTITUTE

Field Data
EIN 82-4756505
Case Number EO-2019094-000257
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOLECULAR HYDROGEN INSTITUTE
Organization’s Mailing Address 4955 N ASHLEE CIRCLE
City ENOCH
State UT
ZIP 84721
Accounting period End 12
Primary contact name TYLER LEBARON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TYLER LEBARON
PRESIDENT/TREASURER
4955 N ASHLEE CIRCLE
ENOCH UT 84721

Officer/Director/Trustee Two

CHRIS UBINGER
SECRETARY
120 WEDGEWOOD DR
PITTSBURG PA 15229

Officer/Director/Trustee Three

ALAN REDD
DIRECTOR
2400 OHIO ST
LAWRENCE KS 66046

Officer/Director/Trustee Four

MARK ROSENBERG
DIRECTOR
4800 N FEDERAL HWY SUITE B 300
BOCA RATON FL 33431

Organization’s website WWW.MOLECULARHYDROGENINSTITUTE.COM
Organization’s email ADMIN@MOLECULARHYDROGENINSTITUTE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U20 - Science, General
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 TYLER LEBARON
Signature Title PRESIDENT/TREASURER
Signature Date 4/2/19

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