FORM 1023-EZ for THE BRANDON LEE FOUNDATION INC

Field Data
EIN 36-4866628
Case Number EO-2017212-000190
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BRANDON LEE FOUNDATION INC
Organization’s Mailing Address 1905 GREGORY DRIVE
City TAMPA
State FL
ZIP 33613
Accounting period End 12
Primary contact name BRANDON L EADY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON EADY
PRESIDENT
1905 GREGORY DRIVE
TAMPA FL 33613

Officer/Director/Trustee Two

EDWARD BUGEL
DIRECTOR
2661 CHELSEA MANOR BLVD
BRANDON FL 33510

Officer/Director/Trustee Three

WILLIAM COWLEY
DIRECTOR
433 GLENWOOD RD
VESTAVIA AL 35216

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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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