FORM 1023-EZ for BRIDGE BACK PROJECT
| Field | Data |
|---|---|
| EIN | 82-3361715 |
| Case Number | EO-2018264-000229 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BRIDGE BACK PROJECT |
| Organization’s Mailing Address | 16541 REDMOND WAY 223C |
| City | REDMOND |
| State | WA |
| ZIP | 98052 |
| Accounting period End | 12 |
| Primary contact name | DOROTHY FOSTER CAF 8006-00158R |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEVIN ELLISON
DIRECTOR
16541 REDMOND WAY 223C
REDMOND WA 98052
Officer/Director/Trustee Two
HOLLY M CHRISTY-MARICIELO
DIRECTOR
1100 MADISON
BAINBRIDGE IS WA 98110
Officer/Director/Trustee Three
BENJAMIN T DENNIS
DIRECTOR
P O BOX 617
INDIANOLA WA 98342
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/26/17 |
| Organization Incorporation State | WA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | H90 - Medical Specialty Research |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: Yes 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 | KEVIN ELLISON |
| Signature Title | DIRECTOR |
| Signature Date | 9/19/18 |
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