FORM 1023-EZ for BRIDGE HOUSE

Field Data
EIN 83-0651233
Case Number EO-2018152-000061
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIDGE HOUSE
Organization’s Mailing Address PO BOX 175
City BURNSVILLE
State MS
ZIP 38833
Accounting period End 12
Primary contact name JASON ROBERTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON ROBERTS
PRESIDENT
58 HWY 72 EAST
GLEN MS 38846

Officer/Director/Trustee Two

LESA JUDD
VICE PRESIDENT
48 COUNTY ROAD 178
IUKA MS 38852

Officer/Director/Trustee Three

NIESHA CARPENTER
SECRETARY
128 JEFFERSON STREET
BURNSVILLE MS 38833

Officer/Director/Trustee Four

LINDA DOWNS
TREASURER
2680 HWY 72 EAST
GLEN MS 38846

Organization’s website WWW.BRIDGEHOUSEBURNSVILLE.ORG
Organization’s email JASON@BRIDGEHOUSEBURNSVILLE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/18
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
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 JASON ROBERTS
Signature Title PRESIDENT
Signature Date 5/29/18

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