FORM 1023-EZ for BELIEVE STROKE RECOVERY FOUNDATION

Field Data
EIN 84-3288944
Case Number EO-2019290-000200
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELIEVE STROKE RECOVERY FOUNDATION
Organization’s Mailing Address 7474 CREEDMOOR ROAD PMB 147
City RALEIGH
State NC
ZIP 27613
Accounting period End 12
Primary contact name JENNIFER ERWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL ERWIN
CHAIR
4731 SHANNONHOUSE DRIVE- 108
RALEIGH NC 27612

Officer/Director/Trustee Two

JENNIFER ERWIN
SECRETARY
4731 SHANNONHOUSE DRIVE-108
RALEIGH NC 27612

Officer/Director/Trustee Three

REGINA HEROUX
VICE CHAIR
1712 HASENTREE VILLA LANE
WAKE FOREST NC 27587

Officer/Director/Trustee Four

KRISTINA BRACY
TREASURER
904 GLENCASTLE WAY
RALEIGH NC 27606

Officer/Director/Trustee Five

APRIL STARLING
ASSISTANT SECRETARY-TREASURER
410 WESTWOOD DRIVE
CHAPEL HILL NC 27516

Organization’s website WWW.BELIEVESRF.ORG
Organization’s email BELIEVESRF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 KRISTINA BRACY
Signature Title TREASURER
Signature Date 10/15/19

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