FORM 1023-EZ for BRINT FOUNDATION

Field Data
EIN 84-2643281
Case Number EO-2020183-000125
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRINT FOUNDATION
Organization’s Mailing Address 3100 ALLISON BONNET MEMORIAL DRIVE
City HUEYTOWN
State AL
ZIP 35023
Accounting period End 12
Primary contact name SCOTT M LAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAINE BRINT
PRESIDENT, TREASURER, DIRECTOR
3600 WESTCHESTER CIRCLE
BIRMINGHAM AL 35223

Officer/Director/Trustee Two

ROBERT BARNETT
SECRETARY, DIRECTOR
2509 MARBLEHEAD DRIVE
SARASOTA FL 34231

Officer/Director/Trustee Three

JENNIFER GRISWOLD
DIRECTOR
3207 OAK LAWN DRIVE
COLUMBIA MO 65203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2019
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BLAINE BRINT
Signature Title PRESIDENT, TREASURER, DIRECTOR
Signature Date 6/29/2020

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