FORM 1023-EZ for BRINJURED INC

Field Data
EIN 47-1411014
Case Number EO-2015033-000544
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRINJURED INC
Organization’s Mailing Address 3824 MALIBU COUNTRY DRIVE
City MAILBU
State CA
ZIP 90265
Accounting period End 12
Primary contact name KEVIN MALONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAWN MALONE
PRESIDENT
3824 MALIBU COUNTRY DRIVE
MALIBU CA 90265

Officer/Director/Trustee Two

BRENDAN WEAK
TREASURER
5704 N WILKINSON ROAD
PARADISE VALLEY AZ 85253

Officer/Director/Trustee Three

KEVIN MALONE
VICE PRESIDENT
3824 MALIBU COUNTRY DRIVE
MALIBU CA 90265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2014
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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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