FORM 1023-EZ for BROUGHTON TRAVEL FELLOWSHIP INC

Field Data
EIN 82-4183524
Case Number EO-2018054-000128
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROUGHTON TRAVEL FELLOWSHIP INC
Organization’s Mailing Address 2404 RIDGE RD
City RALEIGH
State NC
ZIP 27612
Accounting period End 12
Primary contact name WILLIAM CLAYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM CLAYTON
DIRECTOR
2404 RIDGE RD
RALEIGH NC 27612

Officer/Director/Trustee Two

JOSHUA FORD
DIRECTOR
193 DAR-LIND LN
PALMYRA NY 14522

Officer/Director/Trustee Three

JOHN CLAYTON
DIRECTOR
915 WEST PEACHTREE ST NW APT 725
ATLANTA GA 30309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name WILLIAM CLAYTON
Signature Title DIRECTOR
Signature Date 2/21/18

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