FORM 1023-EZ for MEDICINE BOWL GIVING CIRCLE INC

Field Data
EIN 86-3282091
Case Number EO-2021109-000322
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDICINE BOWL GIVING CIRCLE INC
Organization’s Mailing Address 67 EBENS COVE
City BARNARDSVILLE
State NC
ZIP 28709
Accounting period End 12
Primary contact name KIFU FARUQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIFU FARUQ
FOUNDING DIRECTOR
67 EBENS COVE
BARNARDSVILLE NC 28709

Officer/Director/Trustee Two

KERLINE ASTRE
BOARD CHAIR
770 TURNSTONE DR
SACRAMENTO CA 95834

Officer/Director/Trustee Three

NATALIE TUCKER
TREASURER
1454 8TH STREET APT 5
OAKLAND CA 94607

Officer/Director/Trustee Four

JOIE LOU SHAKIR
SECRETARY
67 EBENS COVE
BARNARDSVILLE NC 28709

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KIFU FARUQ
Signature Title FOUNDING DIRECTOR
Signature Date 4/15/2021

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