FORM 1023-EZ for THE BRACCO ITALIANO HEALTH FOUNDATION

Field Data
EIN 81-2673330
Case Number EO-2016221-000384
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BRACCO ITALIANO HEALTH FOUNDATION
Organization’s Mailing Address 1636 HAYDN DRIVE
City CARDIFF BY THE SEA
State CA
ZIP 92007
Accounting period End 12
Primary contact name ERICKA DENNIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICKA DENNIS
PRESIDENT
1636 HAYDN DRIVE
CARDIFF BY THE SEA CA 92007

Officer/Director/Trustee Two

HEATHER HAUSER
VICE PRESIDENT
2861 WELLESLEY DRIVE
COLUMBUS OH 43221

Officer/Director/Trustee Three

VALERIE KESSLER
SECRETARY
2536 TORMOLO WAY
RANCHO CORDOVA CA 95670

Officer/Director/Trustee Four

JOHN KAVALIER
TREASURER
PO BOX 251
TOLEDO IA 52342

Officer/Director/Trustee Five

JOHN CALLACI
BOARD MEMBER
38 CROYDON LANE
OAK BROOK IL 60523

Organization’s website WWW.BRACCODATABASE.ORG
Organization’s email COMMENTS@BRACCODATABASE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2016
Organization Incorporation State WY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 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
Signature Title
Signature Date

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