FORM 1023-EZ for HANDS OF THE CARPENTER

Field Data
EIN 84-2103998
Case Number EO-2019289-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HANDS OF THE CARPENTER
Organization’s Mailing Address 114A W JEFFERSON ST
City FALLS CHURCH
State VA
ZIP 22046-3417
Accounting period End 12
Primary contact name MARK CERNY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK CERNY
PRESIDENT
114A W JEFFERSON ST
FALLS CHURCH VA 22046-3417

Officer/Director/Trustee Two

PATRICK FALLON
TREASURER
11426 LOG RIDGE DRIVE
FAIRFAX VA 22030-8513

Officer/Director/Trustee Three

JONATHAN AMGOTT
SECRETARY
120 LOCUST COURT
HOLLIDAYSBURG PA 16648-2520

Officer/Director/Trustee Four

MIKE SAMPSON
DIRECTOR
16300 OLD EMMITSBURG ROAD STE 2
EMMITSBURG MD 21727-7797

Officer/Director/Trustee Five

WILLIAM HANCZARYK
DIRECTOR
5408 QUINCY MARR DRIVE
FAIRFAX VA 22032-2924

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Conducting Activities Outside of United States Yes
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 MARK CERNY
Signature Title PRESIDENT
Signature Date 10/14/19

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