FORM 1023-EZ for BEREAN COMMUNITY CENTER INC

Field Data
EIN 47-4155497
Case Number EO-2015286-000070
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEREAN COMMUNITY CENTER INC
Organization’s Mailing Address 2400 E MILLBROOK ROAD
City RALEIGH
State NC
ZIP 27604-2806
Accounting period End 12
Primary contact name VALERIE UDOFIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ARLEE GRIFFIN
CHAIR
972 FLAT ROCK CHURCH ROAD
LOUSIBURG NC 27549-9183

Officer/Director/Trustee Two

BYRON BENTON
VICE CHAIRMAN
1609 FERN HOLLOW TRAIL
WAKE FOREST NC 27587-5930

Officer/Director/Trustee Three

JACEQUELINE WYNN
OFFICER
104 BATHGATE LANE
CARY NC 27513-5552

Officer/Director/Trustee Four

KATHLEEN HIGH
OFFICER
90201 HOEY
CHAPEL HILL NC 27517-8556

Officer/Director/Trustee Five

CHRIS HILL
OFFICER
6524 TEALBRIAR DRIVE
RALEIGH NC 27615-7424

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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
Signature Title
Signature Date

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