FORM 1023-EZ for A BED IN NEED INC

Field Data
EIN 85-3164663
Case Number EO-2020277-000032
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A BED IN NEED INC
Organization’s Mailing Address 828 FAIRVIEW DR
City BELLE FOURCHE
State SD
ZIP 57717
Accounting period End 12
Primary contact name CAROYLE LANE-KEMP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROYLE LANE-KEMP
PRESIDENT
828 FAIRVIEW DRIVE
BELLE FOURCHE SD 57717

Officer/Director/Trustee Two

CHERI TRIPP
TREASURER
2018 11TH AVENUE
BELLE FOURCHE SD 57717

Officer/Director/Trustee Three

KATHLEEN LEIPOLD
SECRETARY
222 8TH AVENUE
BELLE FOURCHE SD 57717

Officer/Director/Trustee Four

GARY KEMP
DIRECTOR
828 FAIRVIEW DRIVE
BELLE FOURCHE SD 57717

Officer/Director/Trustee Five

PETER BONNICHSEN
DIRECTOR
827 FAIRVIEW DRIVE
BELLE FOURCHE SD 57717

Organization’s website
Organization’s email ABEDINNEED@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L12 - Fund Raising and/or Fund Distribution
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 CAROYLE LANE-KEMP
Signature Title PRESIDENT
Signature Date 9/30/2020

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