FORM 1023-EZ for FAITHFUL BRAIN RESEARCH FOUNDATION

Field Data
EIN 46-5088542
Case Number EO-2015224-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAITHFUL BRAIN RESEARCH FOUNDATION
Organization’s Mailing Address 17493 PRINCETON RIDGE CT
City WILDWOOD
State MO
ZIP 63025
Accounting period End 12
Primary contact name MARK DUNGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LEONARD MATHESON
DIRECTOR
188 WOODLAND PLACE CT
ST. CHARLES MO 63303

Officer/Director/Trustee Two

MARK DUNGAN
DIRECTOR
17493 PRINCETON RIDGE CT
WILDWOOD MO 63025

Officer/Director/Trustee Three

TONY RUESING
DIRECTOR
661 BLACK HORSE DRIVE
VILLA RIDGE MO 63089

Officer/Director/Trustee Four

TRAVIS STEWART
DIRECTOR
715 DEER TRACKS TRAIL SUITE 260
ST. LOUIS MO 63131

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/2014
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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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