FORM 1023-EZ for BRISTOL EDUCATION FOUNDATION INC

Field Data
EIN 47-2192903
Case Number EO-2014304-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRISTOL EDUCATION FOUNDATION INC
Organization’s Mailing Address 10135 160TH AVE
City BRISTOL
State WI
ZIP 53104
Accounting period End 12
Primary contact name JENNIFER GRUBBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER GRUBBS
PRESIDENT
10135 160TH AVE
BRISTOL WI 53104

Officer/Director/Trustee Two

MELISSA HERIFORD
TREASURE
8322 190TH AVE
BRISTOL WI 53104

Officer/Director/Trustee Three

BETH MATTSON
SECETARY
4031 MEACHEM ROAD
MT. PLEASANT WI 53403

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
Organization’s purpose Charitable: No
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
Signature Title
Signature Date

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