FORM 1023-EZ for THE CAMERON BRADLEY FOUNDATION INC

Field Data
EIN 85-1584561
Case Number EO-2020279-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CAMERON BRADLEY FOUNDATION INC
Organization’s Mailing Address 404 CORDER ROAD SUITE 200
City WARNER ROBINS
State GA
ZIP 31088
Accounting period End 12
Primary contact name MATTHEW C MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY LASSETER
DIRECTOR
253 MOSSY LAKE ROAD
PERRY GA 31069

Officer/Director/Trustee Two

APRIL LASSETER
DIRECTOR
253 MOSSY LAKE ROAD
PERRY GA 31069

Officer/Director/Trustee Three

MATTHEW MOORE
DIRECTOR
109 CHANTILLY DRIVE
WARNER ROBINS GA 31088

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MATTHEW MOORE
Signature Title DIRECTOR
Signature Date 10/1/2020

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