FORM 1023-EZ for RJ HAIRSTON SR COMMUNITY FOUNDATION

Field Data
EIN 31-1528330
Case Number EO-2015343-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RJ HAIRSTON SR COMMUNITY FOUNDATION
Organization’s Mailing Address PO BOX 24445
City COLUMBUS
State OH
ZIP 43224
Accounting period End 12
Primary contact name CATHY KERNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CATHY KERNER
INTERIM DIRECTOR/TREASURER
510 PRESERVATION LN
GAHANNA OH 43230

Officer/Director/Trustee Two

DR CHENELE JONES
ASSISTANT DIRECTOR
4129 CERTALDO DR
COLUMBUS OH 43219

Officer/Director/Trustee Three

BISHOP ROGER HAIRSTON
OFFICER
7200 BENNELL AVE
REYNOLDSBURG OH 43068

Officer/Director/Trustee Four

CLARENCE MOODY
OFFICER
1806 KENVIEW DRIVE
COLUMBUS OH 43209

Officer/Director/Trustee Five

RONALD FLEMING
OFFICER
114 DEEPWOOD DR
REYNOLDSBURG OH 43068

Organization’s website
Organization’s email RJHCDC@YMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/17/1997
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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