FORM 1023-EZ for PAUL BERNOT MEMORIAL FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-1681218 |
| Case Number | EO-2017181-000135 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PAUL BERNOT MEMORIAL FOUNDATION |
| Organization’s Mailing Address | 4430 TIPPERARY PLACE |
| City | WINSTON SALEM |
| State | NC |
| ZIP | 27104-4766 |
| Accounting period End | 6 |
| Primary contact name | JOHN BERNOT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JOHN BERNOT
PRESIDENT AND DIRECTOR
4430 TIPPERARY PLACE
WINSTON SALEM NC 27104
Officer/Director/Trustee Two
DAN YERACE
DIRECTOR/VP/TREASURER
107 BEECHWOOD CIRCLE
CRANBERRY TWSP PA 16066
Officer/Director/Trustee Three
MICHELLE BERNOT
DIRECTOR AND SECRETARY
9817 BOCA GARDENS CIR N-B
BOCA RATON FL 33496
Officer/Director/Trustee Four
ERIC RAMSEY
DIRECTOR
138 BRIGHTON LANE
MARS PA 16046
Officer/Director/Trustee Five
WILLIAM BORDERS
DIRECTOR
2035 FACULTY DR
WINSTON SALEM NC 27106
| Organization’s website | HTTPS://WWW.PAULBERNOTFOUNDATION.ORG |
|---|---|
| Organization’s email | PAULBERNOTFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/12/2017 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B82 - Scholarships, Student Financial Aid Services, Awards |
| 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 | No |
| 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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