FORM 1023-EZ for YOUTH BERTIE

Field Data
EIN 47-3106835
Case Number EO-2015183-000136
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH BERTIE
Organization’s Mailing Address 778
City WINDSOR
State NC
ZIP 27983-0778
Accounting period End 2
Primary contact name RON WESSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAREN RAY
CO-PRESIDENT
617 NC HIGHWAY 42
COLERAIN NC 27924-9032

Officer/Director/Trustee Two

RONALD WESSON
CO-PRESIDENT
134 WARD ROAD
WINDSOR NC 27983-9072

Officer/Director/Trustee Three

JOHN TYLER
TREASURER
446 BATCHELOR BAY DRIVE
WINDSOR NC 27983-7011

Officer/Director/Trustee Four

ANNIE WILSON
SECRETARY
105 MADISON LANE
WINDSOR NC 27983-7108

Officer/Director/Trustee Five

TIERA BEALE
VICE-PRESIDENT
400 PALADIN DRIVE
GREENVILLE NC 27834-7863

Organization’s website WWW.YOUTHBERTIE.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2015
Organization Incorporation State NC
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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