FORM 1023-EZ for ONE CARE DC FOUNDATION

Field Data
EIN 84-3173384
Case Number EO-2021082-000134
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ONE CARE DC FOUNDATION
Organization’s Mailing Address 2501 GOOD HOPE RD SE
City WASHINGTON
State DC
ZIP 20020
Accounting period End 12
Primary contact name ONE CARE DC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERNON RICHARDSON
BOARD MEMBER
12611 LAMPTON LN
FORT WASHINGTON MD 20744

Officer/Director/Trustee Two

MATUTU NYABUNGE
FOUNDER
1628 GOOD HOPE RD SE
WASHINGTON DC 20020

Officer/Director/Trustee Three

JERMAINE WYATT
BOARD PRESIDENT
12611 LAMPTON LN
FORT WASHINGTON MD 20744

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2019
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F32 - Community Mental Health Center
Organization’s purpose Charitable: Yes
Religious: No
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 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 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 VERNON RICHARDSON
Signature Title BOARD MEMBER
Signature Date 1/28/2021

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