FORM 1023-EZ for A BED AND A BOOK

Field Data
EIN 85-2699713
Case Number EO-2021084-000058
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A BED AND A BOOK
Organization’s Mailing Address 6710 YADKINVILLE ROAD
City PFAFFTOWN
State NC
ZIP 27040
Accounting period End 12
Primary contact name ANNELIESE WALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNELIESE WALL
PRESIDENT
6710 YADKINVILLE ROAD
PFAFFTOWN NC 27040

Officer/Director/Trustee Two

PHYLLIS CULBERTSON
BOARD MEMBER
3810 GUINEVERE LANE
WINSTON SALEM NC 27104

Officer/Director/Trustee Three

PATTI SHUGART
BOARD MEMBER
2700 WINDSOR ROAD
WINSTON SALEM NC 27104

Officer/Director/Trustee Four

JANET SHILL
BOARD MEMBER
50 CEMETARY STREET SUITE A
WINSTON SALEM NC 27101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 ANNELIESE WALL
Signature Title PRESIDENT
Signature Date 11/17/2020

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