FORM 1023-EZ for FOOTBRIDGE INC

Field Data
EIN 82-2064969
Case Number EO-2017226-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOOTBRIDGE INC
Organization’s Mailing Address 220 EMERSON PLACE STE 301
City DAVENPORT
State IA
ZIP 52801
Accounting period End 12
Primary contact name WILLIAM T MCCULLOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESE TOUVELLE
PRESIDENT
2105 WENDY COURT
BETTENDORF IA 52722

Officer/Director/Trustee Two

MARIA BRIBRIESCO
DIRECTOR
2114 NICHOLAS COURT
BETTENDORF IA 52722

Officer/Director/Trustee Three

PATRICIA SHABUNAS
VICE PRESIDENT
4989 DOVE COURT
BETTENDORF IA 52722

Officer/Director/Trustee Four

BARBARA JACOBSEN
TREASURER
4351 SOUTHFIELD PL
BETTENDORF IA 52722

Officer/Director/Trustee Five

TONI HALLAS
SECRETARY
4513 STONE HAVEN DRIVE
BETTENDORF IA 52722

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2017
Organization Incorporation State IA
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: 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 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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