FORM 1023-EZ for ANDERSON BLUHM FREEDOM FOUNDATION

Field Data
EIN 81-2975969
Case Number EO-2016243-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANDERSON BLUHM FREEDOM FOUNDATION
Organization’s Mailing Address P O BOX 33037
City BLOOMFIELD HILLS
State MI
ZIP 48303-3037
Accounting period End 12
Primary contact name KEVIN ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN ANDERSON
PRESIDENT AND CO FOUNDER
5133 NOB HILL COURT
BLOOMFIELD HILLS MI 48302-2650

Officer/Director/Trustee Two

JOSHUA BITTERMAN
TREASURER AND COFOUNDER
E-4111 ANDOVER RD SUITE 300
BLOOMFIELD HILLS MI 48302-1921

Officer/Director/Trustee Three

MEGGEN WATT PETERSEN
SERCRETARY
1285 S MANITOU TRAIL
LAKE LEELANAU MI 49653-9750

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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