FORM 1023-EZ for DARRYL ALLEN HAIRSTON II CRIME VICTIMS FOUNDATION

Field Data
EIN 82-1192068
Case Number EO-2017114-000068
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DARRYL ALLEN HAIRSTON II CRIME VICTIMS FOUNDATION
Organization’s Mailing Address 4611 PENDALL DRIVE
City FORT WASHINGTON
State MD
ZIP 20744
Accounting period End 12
Primary contact name DARRYL HAIRSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRYL HAIRSTON
PRESIDENT
4611 PENDALL DRIVE
FORT WASHINGTON MD 20744

Officer/Director/Trustee Two

TINA HAIRSTON
BOARD MEMBER
4611 PENDALL DRIVE
FORT WASHINGTON MD 20744

Officer/Director/Trustee Three

TONDALAI PITTS
BOARD MEMBER
28045 SERRA LANE
VALENCIA CA 91355

Officer/Director/Trustee Four

CHAQUITA THOMAS
BOARD MEMBER
4611 PENDALL DRIVE
FORT WASHINGTON MD 20744

Organization’s website WWW.DARRYLAHAIRSTONCVF.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2017
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I20 - Crime Prevention N.E.C.
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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