FORM 1023-EZ for BRUNSWICK COMMUNITY CENTER INC

Field Data
EIN 85-3136417
Case Number EO-2020273-000417
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRUNSWICK COMMUNITY CENTER INC
Organization’s Mailing Address 116 W HICKS ST
City LAWRENCEVILLE
State VA
ZIP 23868
Accounting period End 12
Primary contact name MICHAEL DOTTI - CHAIRMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAIL BENJAMIN
DIRECTOR
12664 DRY BREAD RD
LAWRENCEVILLE VA 23868

Officer/Director/Trustee Two

EARL JARRELL
DIRECTOR
21197 CHRISTANNA HWY
LAWRENCEVILLE VA 23868

Officer/Director/Trustee Three

MICHAEL DOTTI
DIRECTOR
PO BOX 64
EBONY VA 23845

Officer/Director/Trustee Four

MICHELLE NHAMBURE
DIRECTOR
1689 BRODNAX RD
BRODNAX VA 23920

Officer/Director/Trustee Five

TRINA STAHL
2848 POA
805 N MECKLENBURG AVE PO BOX 729
SOUTH HILL VA 23970

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/27/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N31 - Community Recreational Centers
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 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 TRINA STAHL
Signature Title 2848 POA
Signature Date 9/25/2020

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