FORM 1023-EZ for BRIAN HAFER FOUNDATION

Field Data
EIN 27-3461409
Case Number EO-2019214-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIAN HAFER FOUNDATION
Organization’s Mailing Address 35 LOUISE DRIVE
City SPRINGBORO
State OH
ZIP 45066
Accounting period End 12
Primary contact name KYLE DUWEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD DUWEL
PRESIDENT
329 NORTHVIEW ROAD
DAYTON OH 45419-3344

Officer/Director/Trustee Two

SHAWN QUIGLEY
VICE-PRESIDENT
943 WESTMINSTER PLACE
DAYTON OH 45419-3760

Officer/Director/Trustee Three

KYLE DUWEL
TREASURER
125 GREENMOUNT BLVD
DAYTON OH 45419-3141

Officer/Director/Trustee Four

WILLIAM HAFER
EXECUTIVE DIRECTOR
35 LOUISE DRIVE
SPRINGBORO OH 45066-5016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/7/00
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KYLE DUWEL
Signature Title TREASURER
Signature Date 7/31/19

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