FORM 1023-EZ for BRITTENHAM FAMILY FOUNDATION

Field Data
EIN 81-3596332
Case Number EO-2016286-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRITTENHAM FAMILY FOUNDATION
Organization’s Mailing Address 1642 EAST SAHUARO BLOSSOM PLACE
City TUCSON
State AZ
ZIP 85718
Accounting period End 12
Primary contact name SCOTT A BRITTENHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT BRITTENHAM
PRESIDENT, TREASURER BOARD MEMBER
1642 EAST SAHUARO BLOSSOM PLACE
TUCSON AZ 85718-7878

Officer/Director/Trustee Two

GEORGE HANSON
VICE PRESIDENT BOARD MEMBER
3750 EAST VIA PALOMITA - APT 7101
TUCSON AZ 85718-3357

Officer/Director/Trustee Three

SEAN DARCY
SECRETARY BOARD MEMBER
71 BURKEWOOD ROAD
MT VERSON NY 10552-1230

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2016
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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