FORM 1023-EZ for BOWLING FOR AUTISM
| Field | Data |
|---|---|
| EIN | 84-4524863 |
| Case Number | EO-2020252-000468 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BOWLING FOR AUTISM |
| Organization’s Mailing Address | 4208 SIX FORKS RD STE 1000 |
| City | RALEIGH |
| State | NC |
| ZIP | 27609 |
| Accounting period End | 12 |
| Primary contact name | DERRICK THOMPSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DERRICK THOMPSON
EXECUTIVE DIRECTOR
396 OAK ALLEY TRAIL
CLAYTON NC 27527
Officer/Director/Trustee Two
BERNICE PEDRO
BOARD MEMBER
128 MYSTWOOD CIRCLE
HOLLY SPRINGS NC 27540
Officer/Director/Trustee Three
HEATHER DUNSTON
BOARD MEMBER
8311 BRATT AVENUE
WAKE FOREST NC 27587
Officer/Director/Trustee Four
KELLY COTTER
BOARD MEMBER
701 DANIELS STREET APT A
RALEIGH NC 27605
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/28/2020 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | DERRICK THOMPSON |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 9/4/2020 |
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