FORM 1023-EZ for BARYONNOH VISION

Field Data
EIN 82-1140022
Case Number EO-2018061-000002
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BARYONNOH VISION
Organization’s Mailing Address 4632 PERTH CT 5
City CHARLOTTE
State NC
ZIP 28215
Accounting period End 11
Primary contact name SAMETTA GRIGSBY 980-785-8676
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMETTA GRIGSBY
CEO
4632 PERTH CT APT 5
CHARLOTTE NC 28215

Organization’s website
Organization’s email ALLEGORY016@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education 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 No
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 SAMETTA GRIGSBY
Signature Title CEO
Signature Date 2/28/18

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