FORM 1023-EZ for S G HAIRSTON FAMILY TRUST

Field Data
EIN 47-2438334
Case Number EO-2015159-000426
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name S G HAIRSTON FAMILY TRUST
Organization’s Mailing Address 600 SW 5TH COURT E101
City RENTON
State WA
ZIP 98057
Accounting period End 12
Primary contact name VALINDA ALACHAPPELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HOWARD ROBINSON
CHAIRMAN PRESIDENT
600 SW 5TH COURT E101
RENTON CA 98057

Officer/Director/Trustee Two

THOMAS DERR
TREASURER
1911 AURORA AVE N 420
SEATTLE WA 98109

Officer/Director/Trustee Three

VINCETA STEWARD
SECRETARY
44 WEST PARKHURST
DETROIT MI 48203

Officer/Director/Trustee Four

CAROLYN GALLOWAY
MEMBER
979 CHAMPION
COLUMBUS OH 43207

Officer/Director/Trustee Five

DANELLA TAYLOR
MEMBER
778 EDGEWOOD
RICHMON OH 44143

Organization’s website NONE
Organization’s email VALACHAPP@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2012
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title
Signature Date

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