FORM 1023-EZ for BRAVE SOUL INCORPORATED

Field Data
EIN 82-2761073
Case Number EO-2017263-000288
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRAVE SOUL INCORPORATED
Organization’s Mailing Address 9639 E CARON ST
City SCOTTSDALE
State AZ
ZIP 85258
Accounting period End 12
Primary contact name ANNETTE NIEMIEC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNETTE NIEMIEC
PRESIDENT/TREASURER
9639 E CARON ST
SCOTTSDALE AZ 85258-5600

Officer/Director/Trustee Two

MELANEY NIEMIEC
SECRETARY
9639 E CARON ST
SCOTTSDALE AZ 85258-5600

Officer/Director/Trustee Three

THOMAS NIEMIEC
VICE PRESIDENT
9639 E CARON ST
SCOTTSDALE AZ 85258-5600

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2017
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift 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 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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