FORM 1023-EZ for BRAVE LIKE BRONSON INCORPORATED

Field Data
EIN 47-3788043
Case Number EO-2015166-000412
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRAVE LIKE BRONSON INCORPORATED
Organization’s Mailing Address 463688 STATE ROAD 200 SUITE 1-154
City YULEE
State FL
ZIP 32097
Accounting period End 12
Primary contact name PATRICIA PATCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA PATCH
EXECUTIVE DIRECTOR
463688 STATE ROAD 200 SUITE 1-154
YULEE FL 32097

Officer/Director/Trustee Two

KENNETH PATCH JR
CHIEF FINANCIAL OFFICER
463688 STATE ROAD 200 SUITE 1-154
YULEE FL 32097

Officer/Director/Trustee Three

TRICIA ROTH
PRESIDENT
463688 STATE ROAD 200 SUITE 1-154
YULEE FL 32097

Officer/Director/Trustee Four

BRENT ROTH
VICE PRESIDENT
463688 STATE ROAD 200 SUITE 1-154
YULEE FL 32097

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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
Signature Title
Signature Date

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