FORM 1023-EZ for HAIRSTON FOUNDATION INC

Field Data
EIN 82-1210687
Case Number EO-2019161-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAIRSTON FOUNDATION INC
Organization’s Mailing Address 423 EDGEMORE RD
City PHILADELPHIA
State PA
ZIP 19151
Accounting period End 12
Primary contact name REGINA HAIRSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REGINA HAIRSTON
FOUNDER BOARD PRESIDENT
423 EDGEMORE RD
PHILADELPHIA PA 19151

Officer/Director/Trustee Two

SHARON BROKENBOUGH
BOARD OF DIRECTOR
260 DREXEL AVENUE
LANSDOWNE PA 19050

Officer/Director/Trustee Three

CHARMAINE COLLINS
BOARD OF DIRECTOR
1333 E CARDEZA STREET
PHILADELPHIA PA 19119

Officer/Director/Trustee Four

MELINDA JOHNSON
BOARD OF DIRECTOR
58 CARPENTER STREET
WOODBURY NJ 8096

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/17
Organization Incorporation State PA
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: Yes
Scientific: No
Literary: Yes
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 REGINA HAIRSTON
Signature Title FOUNDER BOARD PRESIDENT
Signature Date 6/6/19

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