FORM 1023-EZ for BRIGHT SPOT PEDIATRIC STROKE
| Field | Data |
|---|---|
| EIN | 82-4399012 |
| Case Number | EO-2018250-000455 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BRIGHT SPOT PEDIATRIC STROKE |
| Organization’s Mailing Address | 4824 WARNOCK AVENUE |
| City | GRANITE CITY |
| State | IL |
| ZIP | 62040-2969 |
| Accounting period End | 12 |
| Primary contact name | ASHLEY WARREN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ASHLEY WARREN
PRESIDENT/FOUNDER
4824 WARNOCK AVENUE
GRANITE CITY IL 62040-2969
Officer/Director/Trustee Two
JOSHUA WARREN
CHAIR
4824 WARNOCK AVENUE
GRANITE CITY IL 62040-2969
Officer/Director/Trustee Three
TRACY WELLING
VICE PRESIDENT
6828 PELHAM MANOR DRIVE
FAIRVIEW HEIGHTS IL 62208-2146
Officer/Director/Trustee Four
ERIK ILLIES
SECRETARY
908 INDIANA AVENUE
COLLINSVILLE IL 62234-4518
Officer/Director/Trustee Five
KIMBERLY DAVID
TREAURER
5331 NEOSHO STREET
ST. LOUIS MO 63109-2958
| Organization’s website | BRIGHTSPOTPS.WEEBLY.COM |
|---|---|
| Organization’s email | BRIGHTSPOTPEDIATRICSTROKE@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/13/18 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | T70 - Fund Raising Organizations That Cross Categories |
| 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 | 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 | ASHLEY WARREN |
| Signature Title | PRESIDENT/FOUNDER |
| Signature Date | 9/5/18 |
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