FORM 1023-EZ for HAMPTON FOUNDATION

Field Data
EIN 83-2980687
Case Number EO-2019039-000612
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAMPTON FOUNDATION
Organization’s Mailing Address 200 SOUTH HAMPTON PLACE SUITE 2107
City CLARKSVILLE
State TN
ZIP 37040
Accounting period End 12
Primary contact name PAULA HAMPTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULA HAMPTON
PRESIDENT-CEO
200 SOUTH HAMPTON
CLARKSVILLE TN 37040

Officer/Director/Trustee Two

JAMES HAMPTON
BOARD MEMBER
119 WATERFORD DR
OAK GROVE OH 42262

Officer/Director/Trustee Three

SHANNON HICKENBOTTOM
BOARD MEMBER
3466 ARVIN DR
CLARKSVILLE KY 37042-5813

Officer/Director/Trustee Four

LERONTE WILLIAMS
BOARD MEMBER
200 SOUTH HAMPTON
CLARKSVILLE TN 37040

Officer/Director/Trustee Five

SHAQUONA HART
BOARD MEMBER
124 LILLIAN DRIVE
OAK GROVE MD 42262-8283

Organization’s website
Organization’s email MYPWILLI@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/19
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAULA HAMPTON
Signature Title PRESIDENT-CEO
Signature Date 2/4/19

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