FORM 1023-EZ for HOME BRIDGING GP INC

Field Data
EIN 85-3872864
Case Number EO-2020339-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOME BRIDGING GP INC
Organization’s Mailing Address 101 ASSEMBLY CIR
City GRANTS PASS
State OR
ZIP 97526
Accounting period End 12
Primary contact name DIRK SAMPSELLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD HANSEN
PRESIDENT
4087 WOODLAND PARK RD
GRANTS PASS OR 97527

Officer/Director/Trustee Two

SHARON SPAGNOLO
SECRETARY
3713 FOOTHILL BLVD
GRANTS PASS OR 97526

Officer/Director/Trustee Three

EDWARD BANKUTI
TREASURER
PO BOX 1538
GRANTS PASS OR 97528

Officer/Director/Trustee Four

PHILLIP MARSHALL
VICE PRESIDENT
2655 HUGO RD
MERLIN OR 97532

Organization’s website
Organization’s email chad@edgewaterfellowship.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/21/2020
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 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 CHAD HANSEN
Signature Title PRESIDENT
Signature Date 11/13/2020

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