FORM 1023-EZ for BEFRIEND US INCORPORATED

Field Data
EIN 47-3666341
Case Number EO-2015103-000120
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEFRIEND US INCORPORATED
Organization’s Mailing Address 42268 PROVIDENCE RIDGE DR
City CHANTILLY
State VA
ZIP 20152
Accounting period End 12
Primary contact name CORLISS JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CORLISS JACKSON
PRESIDENT, DIRECTOR
42268 PROVIDENCE RIDGE DR
CHANTILLY VA 20152

Officer/Director/Trustee Two

ERIC APONTE
SECRETARY, DIRECTOR
7917 COLORADO SPRINGS DR
SPRINGFIELD VA 22153

Officer/Director/Trustee Three

WAYNE COOK
TREASURER, DIRECTOR
43025 THOROUGHGOOD DR STE 102
CHANTILLY VA 20152

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2015
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States Yes
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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