FORM 1023-EZ for BREMONE ACADEMY

Field Data
EIN 47-2716531
Case Number EO-2015077-000238
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREMONE ACADEMY
Organization’s Mailing Address 7216 SW TERWILLIGER BLVD
City PORTLAND
State OR
ZIP 97219
Accounting period End 12
Primary contact name KIMBERLEY ALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIMBERLEY ALLEN
CHAIRMAN OF THE BOARD
7216 SW TERWILLIGER BLVD
PORTLAND OR 97219

Officer/Director/Trustee Two

KEMBA SHANNON
BOARD MEMBER
6106 NE HAZEL DELL AVE 12
VANCOUVER WA 98665

Officer/Director/Trustee Three

ROBERT ALLEN
BOARD MEMBER
7216 SW TERWILLIGER BLVD
PORTLAND OR 97219

Officer/Director/Trustee Four

ELISE MOORE
BOARD MEMBER
70 W 24TH PLACE
EUGENE OR 97405

Officer/Director/Trustee Five

ROB SMITH
BOARD MEMBER
10445
PORTLAND OR 97219

Organization’s website BREMONE.COM
Organization’s email INFO@BREMONE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2014
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts Yes
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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