FORM 1023-EZ for BRAVO ALPHA INITIATIVE

Field Data
EIN 84-2205270
Case Number EO-2019254-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRAVO ALPHA INITIATIVE
Organization’s Mailing Address 3240 AUSTIN AVE
City NEW BERN
State NC
ZIP 28562
Accounting period End 12
Primary contact name MARY CANESTORP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY CANESTORP
MANAGER/BOARD MEMBER
3204 THATCHER COURT
NEW BERN NC 28562

Officer/Director/Trustee Two

DUSTIN CANESTORP
PRESIDENT
3204 THATCHER COURT
NEW BERN NC 28562

Officer/Director/Trustee Three

CRISTI SMITH
BOARD MEMBER
3104 JOHN WILLIS ROAD
NEW BERN NC 28562

Officer/Director/Trustee Four

JUSTIN HUGHES
BOARD MEMBER
13480 CAMBRIDGE LANE
EDEN PRAIRIE MN 55344

Officer/Director/Trustee Five

FRANK WORKMAN
BOARD MEMBER
10177 HARTWOOD COURT
UNION KY 41091

Organization’s website WWW.BRAVOALPHA.ORG
Organization’s email MARY.CANESTORP@BRAVOALPHA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
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 DUSTIN CANESTORP
Signature Title PRESIDENT
Signature Date 9/9/19

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