FORM 1023-EZ for HIS FUND

Field Data
EIN 82-3232188
Case Number EO-2017331-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIS FUND
Organization’s Mailing Address 4252 EXECUTIVE PARKWAY APT 535
City WESTERVILLE
State OH
ZIP 43081
Accounting period End 12
Primary contact name CARRIE L DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEENA CRAWFORD
EXECUTIVE CHAIR
5345 MENDON COURT
COLUMBUS OH 43207

Officer/Director/Trustee Two

BRANDON PITTMAN
TREASURER
385 COLLINGWOOD AVE
WHITEHALL OH 43213

Officer/Director/Trustee Three

MIKE BELL
EXECUTIVE VICE CHAIR
2021 RIVER ROCK WAY
REYNOLDSBURG OH 43068

Officer/Director/Trustee Four

TYKIAH WRIGHT
EXECUTIVE ADVISORY CHAIR
3104 LEON AVE
COLUMBUS OH 43219

Officer/Director/Trustee Five

ASHLEY DANSBY
SECRETARY
295 E LONG ST APT 203
COLUMBUS OH 43215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2017
Organization Incorporation State OH
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: 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
Signature Title
Signature Date

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