FORM 1023-EZ for BENEVOLENT SPIRIT FELLOWSHIP

Field Data
EIN 84-2463283
Case Number EO-2019217-000536
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BENEVOLENT SPIRIT FELLOWSHIP
Organization’s Mailing Address 3330 LAKE TAHOE BL 10
City SOUTH LAKE TAHOE
State CA
ZIP 96150
Accounting period End 12
Primary contact name ROBERT HUCKABY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SETH BROCHE
PRESIDENT
PO BOX 6120
STATELINE NV 89449

Officer/Director/Trustee Two

ROBERT HUCKABY
SECRETARY
3330 LAKE TAHOE BL 10
S LAKE TAHOE CA 96150

Officer/Director/Trustee Three

ROBERT HUCKABY
TREASURER
3330 LAKE TAHOE BL 10
S LAKE TAHOE CA 96150

Officer/Director/Trustee Four

SETH BROCHE
DIRECTOR
PO BOX 6120
STATELINE NV 89449

Officer/Director/Trustee Five

ROBERT HUCKABY
DIRECTOR
3330 LAKE TAHOE BL 10
S LAKE TAHOE CA 96150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/24/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 ROBERT HUCKABY
Signature Title DIRECTOR
Signature Date 8/2/19

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