FORM 1023-EZ for BRADY SIZEMORE MEMORIAL FOUNDATION

Field Data
EIN 82-2386992
Case Number EO-2020225-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRADY SIZEMORE MEMORIAL FOUNDATION
Organization’s Mailing Address 416 BRANCH DR
City DOBSON
State NC
ZIP 27017
Accounting period End 12
Primary contact name NICOLE ATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN ATKINS
PRESIDENT
416 BRANCH DR
DOBSON NC 27017

Officer/Director/Trustee Two

NICOLE ATKINS
VICE-PRESIDENT
416 BRANCH DR
DOBSON NC 27017

Officer/Director/Trustee Three

TINA BEASLEY
SECRETARY
42 N FRANKLIN RD
MOUNT AIRY NC 27030

Officer/Director/Trustee Four

PAULA FULT
TREASURER
253 MOUNTAIN VIEW RD
MOUNT AIRY NC 27030

Officer/Director/Trustee Five

JONATHAN BARKER
CHAPLAIN
32 BLEVINS STORE RD
LOW GAP NC 27014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2017
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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 NICOLE ATKINS
Signature Title VICE-PRESIDENT
Signature Date 8/8/2020
EIN 82-2386992
Case Number EO-2018116-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRADY SIZEMORE MEMORIAL FOUNDATION INC
Organization’s Mailing Address 416 BRANCH DR
City DOBSON
State NC
ZIP 27017
Accounting period End 12
Primary contact name KEVIN ATKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN ATKINS
PRESIDENT
416 BRANCH DR
DOBSON NC 27017

Officer/Director/Trustee Two

NICOLE ATKINS
VICE PRESIDENT
416 BRANCH DR
DOBSON NC 27017

Officer/Director/Trustee Three

TINA BEASLEY
SECRETARY
440 S FRANKLIN RD
MT AIRY NC 27030

Officer/Director/Trustee Four

PAULA FULK
TREASURER
225 BOWTIE LN
LOWGAP NC 27024

Officer/Director/Trustee Five

JONATHAN BARKER
BOARD MEMBER
1053 BLEVINS STORE RD
MT AIRY NC 27030

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 KEVIN ATKINS
Signature Title PRESIDENT
Signature Date 4/24/18

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