FORM 1023-EZ for BERKSHIRE FOUNDATION INC

Field Data
EIN 47-4779040
Case Number EO-2015247-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BERKSHIRE FOUNDATION INC
Organization’s Mailing Address 154 KROG STREET NE STE 135
City ATLANTA
State GA
ZIP 30307
Accounting period End 12
Primary contact name AMANDA BUSSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN DALLAS
DIRECTOR, CFO, SECRETARY
154 KROG STREET NE STE 135
ATLANTA GA 30307

Officer/Director/Trustee Two

SARAH LOY
DIRECTOR, CEO
154 KROG STREET NE STE 135
ATLANTA GA 30307

Organization’s website
Organization’s email JOHN.DALLAS@THEBERKSHIREFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 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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