FORM 1023-EZ for BURSTING BUBBLES FOUNDATION

Field Data
EIN 81-3336053
Case Number EO-2016256-000135
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BURSTING BUBBLES FOUNDATION
Organization’s Mailing Address 330 GREENE ST NUM 22
City JACKSONVILLE
State IL
ZIP 62312
Accounting period End 12
Primary contact name JERRY BAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IDATYNA ZARECKY
PRESIDENT, DIRECTOR
151 FERRYVILLE DR
LAKE IN THE HILLS IL 60154

Officer/Director/Trustee Two

JAMES BEGLEY
TREASURER
330 GREENE ST NUM 22
BARRY IL 62312

Officer/Director/Trustee Three

ANTHONY FIELDER
VICE PRESIDENT, DIRECTOR
9845 W ROOSEVELT
WESTCHESTER IL 60154

Officer/Director/Trustee Four

DIANNA CASTLEBERRY
DIRECTOR
330 GREENE ST NUM 22
BARRY IL 62312

Officer/Director/Trustee Five

LUKE REINHOLD
DIRECTOR
1099 BELTLINE RD NUM 200
COLLINSVILLE IL 62234

Organization’s website HTTP://WWW.BURSTINGBUBBLES.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
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 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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