FORM 1023-EZ for JUST BIONIC FOUNDATION

Field Data
EIN 47-1758432
Case Number EO-2014251-000514
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUST BIONIC FOUNDATION
Organization’s Mailing Address 56 FOX TRACE LANE
City HUDSON
State OH
ZIP 44236
Accounting period End 9
Primary contact name JEFFREY BELCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY BELCHER
BOARD MEMBER
56 FOX TRACE LANE
HUDSON OH 44236

Officer/Director/Trustee Two

PETER WILEY
BOARD MEMBER
35 FOX TRACE LANE
HUDSON OH 44236

Officer/Director/Trustee Three

LORA BELCHER
BOARD MEMBER
1469 HAY MARKET WAY
HUDSON OH 44236

Officer/Director/Trustee Four

JENNIFER MASON
BOARD MEMBER
6792 SAINT REGIS BOULEVARD
HUDSON OH 44236

Officer/Director/Trustee Five

VICTORIA PATON
BOARD MEMBER
571 CHESTERTOWN STREET
GAITHERSBURG MD 20878

Organization’s website WWW.JUSTBIONICFOUNDATION.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/5/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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