FORM 1023-EZ for BIENESTAR NICARAGUA INC

Field Data
EIN 84-3521314
Case Number EO-2020160-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIENESTAR NICARAGUA INC
Organization’s Mailing Address 134 GARDEN TERRACE
City RINGGOLD
State GA
ZIP 30736
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERI ESCHENFELDER
PRESIDENT/DIRECTOR
134 GARDEN TERRACE
RINGGOLD GA 30736

Officer/Director/Trustee Two

LURAE AHRENDT
TREASURER/DIRECTOR
391 COVE LAKE DRIVE
MARBLE HILL GA 30148

Officer/Director/Trustee Three

KRISTEN SMITH
SECRETARY/DIRECTOR
15 PLAYHOUSE DRIVE
RINGGOLD GA 30736

Officer/Director/Trustee Four

JOSEPH PRICE
DIRECTOR
COPPER RIDGE DRIVE
WOODSTOCK GA 30188

Officer/Director/Trustee Five

MIKE SHEARON
DIRECTOR
9466 EAST CARROL RD
WHITESBURG GA 30185

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 Yes
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 LURAE AHRENDT
Signature Title TREASURER/DIRECTOR
Signature Date 6/5/2020

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