FORM 1023-EZ for BAILACURA

Field Data
EIN 82-1151105
Case Number EO-2018024-000128
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAILACURA
Organization’s Mailing Address PO BOX 13334
City DURHAM
State NC
ZIP 27709-962
Accounting period End 12
Primary contact name MATTHEW BERGENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW BERGENS
DIRECTOR
306 ESTES DRIVE EXTENSION APT F2
CARRBORO NC 27510

Officer/Director/Trustee Two

JENNIFER GESKA
CHIEF OF OPERATIONS
2020 REMINGTON OAKS CIRCLE
CARY NC 27519

Organization’s website WWW.BAILACURANC.ORG
Organization’s email BAILACURANC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - 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 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 MATTHEW BERGENS
Signature Title DIRECTOR
Signature Date 1/21/18

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