FORM 1023-EZ for HOSPITAL SERVICES COUNCIL OF GREATER WASHINGTON AREA

Field Data
EIN 84-4380169
Case Number EO-2020230-000720
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOSPITAL SERVICES COUNCIL OF GREATER WASHINGTON AREA
Organization’s Mailing Address 46569 HAMPSHIRE STATION DR
City POTOMAC FALLS
State VA
ZIP 20165
Accounting period End 12
Primary contact name THARINDRA RANASINGHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIMAL JAYARATNE
CHAIRMAN
46569 HAMPSHIRE STATION DR
POTOMAC FALLS VA 20165

Officer/Director/Trustee Two

AJITH HERATH
PRESIDENT
10770 FREDERICK ROAD
ELLICOTT CITY MD 21042

Officer/Director/Trustee Three

SEETHA JAYARATNE
ORGANIZER
46569 HAMPSHIRE STATION DR
POTOMAC FALLS VA 20165

Officer/Director/Trustee Four

THARINDRA RANASINGHE
TREASURER
10846 TIMBER LINE LN
ELLICOTT CITY MD 21042

Officer/Director/Trustee Five

SUDATH RANASINGHE
SECRETARY
3849 GLASGOW WAY
FREDERICK MD 21704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2019
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 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 THARINDRA RANASINGHE
Signature Title TREASURER
Signature Date 8/14/2020

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