FORM 1023-EZ for HENRY JOHNSON FOUNDATION INC

Field Data
EIN 84-1944152
Case Number EO-2019186-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENRY JOHNSON FOUNDATION INC
Organization’s Mailing Address 176 CENTRAL AVE
City ALBANY
State NY
ZIP 12206
Accounting period End 12
Primary contact name DAVID CRAFT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARLENE WAY
DIRECTOR, PRESIDENT
17 SECOND STREET
ALBANY NY 12210

Officer/Director/Trustee Two

ANTHONY CAPECE
DIRECTOR, SECRETARY
176 CENTRAL AVE
ALBANY NY 12206

Officer/Director/Trustee Three

JAHKEEN HOKE
DIRECTOR, TREASURER
150 STATE STREET
ALBANY NY 12207

Officer/Director/Trustee Four

CAROLYN LEMMON
DIRECTOR
434 STATE STREET
ALBANY NY 12203

Officer/Director/Trustee Five

TRAVON JACKSON
DIRECTOR
170 WINTHROP AVE
ALBANY NY 12202

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
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 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 JAHKEEN HOKE
Signature Title DIRECTOR, TREASURER
Signature Date 7/2/19

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