FORM 1023-EZ for HARBOR DISCERNMENT CENTER

Field Data
EIN 84-2363348
Case Number EO-2019210-000497
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HARBOR DISCERNMENT CENTER
Organization’s Mailing Address 4420 GEARY BLVD
City SAN FRANCISCO
State CA
ZIP 94118
Accounting period End 6
Primary contact name MARTIN FORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTIN FORD
PRESIDENT
3114 TARAVAL ST APT 4
SAN FRANCISCO CA 94116

Officer/Director/Trustee Two

MAGGIE GALLAGHER
VICE PRESIDENT
4339 BIRCHLAKE CT
ALEXANDRIA VA 22309

Officer/Director/Trustee Three

LANCE JOHNSON
TREASURER
2630 W BELLEVIEW AVE SUITE 200
LITTLETON CO 80123

Organization’s website NONE
Organization’s email MARTINJR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 MARTIN FORD
Signature Title PRESIDENT
Signature Date 7/26/19

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