FORM 1023-EZ for KYLEE BRUCE MEMORIAL FOUNDATION

Field Data
EIN 82-4389054
Case Number EO-2018045-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KYLEE BRUCE MEMORIAL FOUNDATION
Organization’s Mailing Address 2234 EAST STREET
City BAKER CITY
State OR
ZIP 97814
Accounting period End 12
Primary contact name GAYLENE BRUCE-MOYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GAYLENE BRUCE-MOYERS
DIRECTOR
2234 EAST STREET
BAKER CITY OR 97814

Officer/Director/Trustee Two

BRANDON FORSETH
DIRECTOR
4752 SW QUARRY AVE
REDMOND OR 97756

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 GAYLENE BRUCE-MOYERS
Signature Title DIRECTOR
Signature Date 2/12/18

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