FORM 1023-EZ for BROOKBERRY FARM SWIM TEAM

Field Data
EIN 81-3852832
Case Number EO-2017040-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROOKBERRY FARM SWIM TEAM
Organization’s Mailing Address 921 BROOKBERRY FARM CIRCLE
City WINSTON-SALEM
State NC
ZIP 27106
Accounting period End 12
Primary contact name BRENDA FRUCHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA WINTER
PRESIDENT
921 BROOKBERRY FARM CIRCLE
WINSTON-SALEM NC 27106

Officer/Director/Trustee Two

BRENDA FRUCHT
TREASURER
1040 KESWICK LANE
CLEMMONS NC 27012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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