FORM 1023-EZ for BENTWORTH BLESSINGS INC

Field Data
EIN 47-2753911
Case Number EO-2015055-000031
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENTWORTH BLESSINGS INC
Organization’s Mailing Address 1049 CARLTON DR
City BENTLEYVILLE
State PA
ZIP 15314-1912
Accounting period End 12
Primary contact name JENNIFER CARIO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER CARIO
PRESIDENT
1049 CARLTON DR
BENTLEYVILLE PA 15314

Officer/Director/Trustee Two

TAMMY ANDERSON
VICE-PRESIDENT
459 CARLTON DR
BENTLEYVILLE PA 15314

Officer/Director/Trustee Three

KATHY FORSYTHE
SECRETARY
320 OLIVER AVE
BENTLEYVILLE PA 15314

Officer/Director/Trustee Four

JOHNNA BATCHLER
TREASURER
1512 BERRYMAN AVE
SOUTH PARK PA 15129

Organization’s website WWW.BENTWORTHBLESSINGS.ORG
Organization’s email JENNIFER@BENTWORTHBLESSINGS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/21/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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
Signature Title
Signature Date

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