FORM 1023-EZ for THE BRADLEY AND NIKKI BOZEMAN FOUNDATION INC

Field Data
EIN 83-1814808
Case Number EO-2018347-000177
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BRADLEY AND NIKKI BOZEMAN FOUNDATION INC
Organization’s Mailing Address 1777 REISTERSTOWN ROAD SUITE 40
City BALTIMORE
State MD
ZIP 21208
Accounting period End 12
Primary contact name DAVID KATZ CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY BOZEMAN
PRESIDENT
1777 REISTERSTOWN RD SUITE 40
BALTIMORE MD 21208

Officer/Director/Trustee Two

NIKKI HEGSTETTER
VP
1777 REISTERSTOWN RD SUITE 40
BALTIMORE MD 21208

Organization’s website WWW.BRADNIKKIBOZEMAN.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NIKKI HEGSTETTER
Signature Title VP
Signature Date 12/11/18

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