FORM 1023-EZ for SURRY YOUNG ENTREPRENEURS INC

Field Data
EIN 83-4659682
Case Number EO-2019302-000246
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SURRY YOUNG ENTREPRENEURS INC
Organization’s Mailing Address PO BOX 486
City MOUNT AIRY
State NC
ZIP 27030
Accounting period End 12
Primary contact name SUE BROWNFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSANNE BROWNFIELD
PRESIDENT
1 PEARSON POND LN
MOUNT AIRY NC 27030

Officer/Director/Trustee Two

GENE JOHNSON
VICE-PRESIDENT
141 PINEVIEW DR
MOUNT AIRY NC 27030

Officer/Director/Trustee Three

POLLY LONG
SECRETARY
1011 N SOUTH STREET
MOUNT AIRY NC 27030

Officer/Director/Trustee Four

DIANNE JOHNSON
TREASURER
141 PINEVIEW DR
MOUNT AIRY NC 27030

Officer/Director/Trustee Five

PHILLIP BROWN
MEMBER AT LARGE
351 RIVERSIDE DR
MOUNT AIRY NC 27030

Organization’s website N/A
Organization’s email YESURRY1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O53 - Youth Development - Business
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 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 SUSANNE BROWNFIELD
Signature Title PRESIDENT
Signature Date 10/27/19

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