FORM 1023-EZ for BRETHREN INC

Field Data
EIN 38-3794722
Case Number EO-2018291-000076
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRETHREN INC
Organization’s Mailing Address 351 WAGONER DRIVE SUITE 150
City FAYETTEVILLE
State NC
ZIP 28303
Accounting period End 12
Primary contact name CAROL KNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL KNIGHT
PRESIDENT
PO BOX 8183
FAYETTEVILLE NC 28311

Officer/Director/Trustee Two

PAYTON KNIGHT
SECRETARY
PO BOX 8183
FAYETTEVILLE NC 28311

Officer/Director/Trustee Three

SHERRY NORTON
TREASURER
PO BOX 8183
FAYETTEVILLE NC 28311

Officer/Director/Trustee Four

SHEILA OKELLEY
BOARD MEMBER
2325 GRAY GOOSE LOOP
FAYETTEVILLE NC 28306

Organization’s website WWW.BRETHRENINC.ORG
Organization’s email BRETHRENINC@EARTHLINK.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/12
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S02 - Management & Technical Assistance
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 CAROL KNIGHT
Signature Title PRESIDENT
Signature Date 10/16/18

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