FORM 1023-EZ for BAILEYS HEART AND SOUL FOUNDATION

Field Data
EIN 87-1726225
Case Number EO-2021286-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAILEYS HEART AND SOUL FOUNDATION
Organization’s Mailing Address 151 WEST RING FACTORY ROAD
City BEL AIR
State MD
ZIP 21014
Accounting period End 12
Primary contact name PATRICE BULLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICE BULLOCK
PRESIDENT
151 WEST RING FACTORY ROAD
BEL AIE MD 21014

Officer/Director/Trustee Two

DONOVAN PARKES
TREASURER
17 DEEP POWDER COURT
WOODSTOCK MD 21163

Officer/Director/Trustee Three

BREANNA BULLOCK
SECRETATY
30 MILLMONT STREET
BOSTON MA 02119

Organization’s website BAILEYSHEARTANDSOUL.ORG
Organization’s email BBHSFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2021
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PATRICE BULLOCK
Signature Title PRESIDENT
Signature Date 10/11/2021

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