FORM 1023-EZ for BPHC INC

Field Data
EIN 47-2798025
Case Number EO-2015020-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BPHC INC
Organization’s Mailing Address 481 CHIPPINGWOOD DRIVE
City PORT REPUBLIC
State MD
ZIP 20676
Accounting period End 12
Primary contact name CHARLES C RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES RUSSELL
CEO, TREASURER
481 CHIPPINGWOOD DR
PORT REPUBLIC MD 20676

Officer/Director/Trustee Two

JAMES CARTER
DIRECTOR OF RISK
PO BOX 115
MOUNT GILEAD NC 27306

Officer/Director/Trustee Three

JONATHAN SMITH
DIRECTOR OF EDUCATION
950 SPRING FOREST ROAD APT 1-H
GREENVILLE NC 27834

Officer/Director/Trustee Four

ROBERT OCONNOR
DIRECTOR OF REAL ESTATE
127 N TRYON ST UNIT 502
CHARLOTTE NC 28202

Officer/Director/Trustee Five

CHRISTOPHER CARTER
DIRECTOR OF MANPOWER
3908 STERLING POINTE DRIVE UNIT DD
WINTERVILLE NC 28590

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2000
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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