FORM 1023-EZ for HEADSTRONG BRAIN INJURY FOUNDATION

Field Data
EIN 83-1026051
Case Number EO-2018325-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEADSTRONG BRAIN INJURY FOUNDATION
Organization’s Mailing Address 7118 HARTLAND STREET
City HOUSTON
State TX
ZIP 77055
Accounting period End 6
Primary contact name LAUREN BERNARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN BERNARD
EXECUTIVE DIRECTOR/PRESIDENT
7118 HARTLAND STREET
HOUSTON TX 77055

Officer/Director/Trustee Two

ZACHARY BERNARD
DIRECTOR
7118 HARTLAND STREET
HOUSTON TX 77055

Officer/Director/Trustee Three

BETH CARNAHAN
DIRECTOR
3814 HILL SPRINGS DRIVE
KINGWOOD TX 77345

Officer/Director/Trustee Four

TIMOTHY TUNSTALL
DIRECTOR
14020 SCHROEDER UNIT 166
HOUSTON TX 77070

Officer/Director/Trustee Five

KRISTIN ENGLISH
DIRECTOR
207 KENDRICK PINES BLVD
THE WOODLANDS TX 77389

Organization’s website HEADSTRONGBRAIN.ORG
Organization’s email INFO@HEADSTRONGBRAIN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 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 LAUREN BERNARD
Signature Title EXECUTIVE DIRECTOR/PRESIDENT
Signature Date 11/19/18

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