FORM 1023-EZ for JOSHUA J HILLMAN HEALTH FOUNDATION INC

Field Data
EIN 81-5339808
Case Number EO-2017117-000240
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOSHUA J HILLMAN HEALTH FOUNDATION INC
Organization’s Mailing Address 6902 LAGNEY CIR
City JACKSONVILLE
State FL
ZIP 32208-2443
Accounting period End 12
Primary contact name CYNTHIA SYKES COLVIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA SYKES COLVIN
DIRECTOR
6411 HOLLINS DR
BETHESDA MD 20817-2323

Officer/Director/Trustee Two

ELLIS SYKES COLVIN
TREASURER
6411 HOLLINS DR
BETHESDA MD 20817-2323

Officer/Director/Trustee Three

CAROLINE LEILANI COLVIN
SECRETARY
6411 HOLLINS DR
BETHESDA MD 20817-2323

Officer/Director/Trustee Four

JOYCE HILLMAN HASAN
PRESIDENT
6902 LAGNEY CIR
JACKSONVILLE FL 32208-2443

Officer/Director/Trustee Five

CAROL LOCKETT
VICE-PRESIDENT
586 LYNN VALLEY RD SW
ATLANTA GA 30311-2331

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 Yes
Donation of funds Yes
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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