FORM 1023-EZ for MITCHELL HASH FOUNDATION CHARITABLETRUST

Field Data
EIN 47-7178683
Case Number EO-2015229-000100
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MITCHELL HASH FOUNDATION CHARITABLETRUST
Organization’s Mailing Address 2065 WHISPERING WOODS DR
City CHARLOTTESVILLE
State VA
ZIP 22911
Accounting period End 12
Primary contact name CYNTHIA HASH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

APRIL MARTINEZ
TRUSTEE
107 VILLA WAY
CHARLOTTESVILLE VA 22903

Officer/Director/Trustee Two

DAVID HASH
TRUSTEE
2065 WHISPERING WOODS DR
CHARLOTTESVILLE VA 22911

Officer/Director/Trustee Three

CYNTHIA HASH
TRUSTEE
2065 WHISPERING WOODS DR
CHARLOTTESVILLE VA 22911

Organization’s website
Organization’s email
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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