FORM 1023-EZ for THE BRAELYNN & AVERY FOUNDATION

Field Data
EIN 83-3445981
Case Number EO-2019056-000586
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BRAELYNN & AVERY FOUNDATION
Organization’s Mailing Address 2625 GLENRIDGE ROAD
City ESCONDIDO
State CA
ZIP 92027
Accounting period End 12
Primary contact name GARY MOYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SUNDT-RODRIGUES
DIRECTOR, CEO
2625 GLENRIDGE ROAD
ESCONDIDO CA 92027

Officer/Director/Trustee Two

ROMAN RODRIGUES
DIRECTOR, CFO, SECRETARY
2625 GLENRIDGE ROAD
ESCONDIDO CA 92027

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
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 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 JENNIFER SUNDT-RODRIGUES
Signature Title DIRECTOR, CEO
Signature Date 2/22/19

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