FORM 1023-EZ for FC BARNES FAMILY FOUNDATION

Field Data
EIN 86-3009101
Case Number EO-2021109-000175
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FC BARNES FAMILY FOUNDATION
Organization’s Mailing Address 720 ROCKWOOD DR
City FAYETTEVILLE
State NC
ZIP 28311-2766
Accounting period End 12
Primary contact name VALENCIA HANDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALENCIA HANDY
PRESIDENT
720 ROCKWOOD DR
FAYETTEVILLE NC 28311-2766

Officer/Director/Trustee Two

JASMINE ACKLES
TREASURER
2523 CATTAIL CIRCLE
FAYETTEVILLE NC 28311-6556

Officer/Director/Trustee Three

SHAKIRA GRAHAM
SECRETARY
233 GRACYN OLIVIA DRIVE APT 206
CHARLOTTE NC 28262-0096

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VALENCIA HANDY
Signature Title PRESIDENT
Signature Date 4/15/2021

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