FORM 1023-EZ for BRAVE LIFE INITIATIVE

Field Data
EIN 47-5235402
Case Number EO-2015288-000323
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRAVE LIFE INITIATIVE
Organization’s Mailing Address 665 SE ATWOOD AVE
City CORVALLIS
State OR
ZIP 97333
Accounting period End 12
Primary contact name CAROL SOTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JILL SOTH
PRESIDENT
1050 SW TIMIAN STREET
CORVALLIS OR 97333

Officer/Director/Trustee Two

CAROL SOTH
CEO
665 SE ATWOOD
CORVALLIS OR 97333

Organization’s website WWW.BRAVELIFEINITIATIVE.ORG
Organization’s email BRAVELIFEINITIATIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/20/2015
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 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
Signature Title
Signature Date

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