FORM 1023-EZ for MATT TAYLOR Q-BRCA FOUNDATION

Field Data
EIN 83-2800807
Case Number EO-2019037-000578
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MATT TAYLOR Q-BRCA FOUNDATION
Organization’s Mailing Address 500 SE MIZNER BLVD PH 11
City BOCA RATON
State FL
ZIP 33432
Accounting period End 12
Primary contact name NATHAN THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW TAYLOR
PRESIDENT/BOARD MEMBER
500 SE MIZNER BLVD PH 11
BOCA RATON FL 33432

Officer/Director/Trustee Two

LAUREN TAYLOR-WOLFE
TREASURER/BOARD MEMBER
500 SE MIZNER BLVD PH 11
BOCA RATON FL 33432

Officer/Director/Trustee Three

EDWARD TAYLOR
SECRETARY/BOARD MEMBER
500 SE MIZNER BLVD PH 11
BOCA RATON FL 33432

Officer/Director/Trustee Four

REBECCA WOLFSON
BOARD MEMBER
500 SE MIZNER BLVD PH 11
BOCA RATON FL 33432

Officer/Director/Trustee Five

MARSHA SCHERAGO
BOARD MEMBER
500 SE MIZNER BLVD PH 11
BOCA RATON FL 33432

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/18
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 ANDREW TAYLOR
Signature Title PRESIDENT/BOARD MEMBER
Signature Date 2/1/19

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