FORM 1023-EZ for HANSE ONE FOUNDATION

Field Data
EIN 81-4861079
Case Number EO-2017076-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HANSE ONE FOUNDATION
Organization’s Mailing Address 437 17TH ST SE SUITE 101
City WASHINGTON
State DC
ZIP 20003
Accounting period End 12
Primary contact name JERRY MILLINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCIS REYES
SECRETARY
13281C LEAFCREST LN APT 104
FAIRFAX VA 22033

Officer/Director/Trustee Two

JERRY MILLINGTON
PRESIDENT
437 17TH ST SE
WASHINGTON DC 20003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/5/2017
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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
Signature Title
Signature Date

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