FORM 1023-EZ for H S CAPITAL FOUNDATION

Field Data
EIN 83-3622843
Case Number EO-2019107-000084
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name H S CAPITAL FOUNDATION
Organization’s Mailing Address 2 TURES PLACE
City MONTCLAIR
State NJ
ZIP 7043
Accounting period End 12
Primary contact name JOHN L WASHINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN L WASHINGTON
TRUSTEE
2 TURES PLACE
MONTCLAIR NJ 7043

Officer/Director/Trustee Two

JOHN C WASHINGTON
TRUSTREE
18 NORTH LINWOOD AVENUE
BALTIMORE MD 21224

Officer/Director/Trustee Three

SHANTA LEMONS
TRUSTEE
3178 SUMMIT SQUARE DRIVE - UNIT C9
OAKTON VA 22124

Officer/Director/Trustee Four

MCKINLEY BROWN
TRUSTEE
2444 SPRUCE STREET
KANNAPOLIS NC 28081

Officer/Director/Trustee Five

DARYL FURMAN
TRUSTEE
16367 BOATSWAIN CIRCLE
WOODBRIDGE VA 22191

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 JOHN L WASHINGTON
Signature Title TRUSTEE
Signature Date 4/15/19

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