| Field | Data |
|---|---|
| EIN | 84-2797233 |
| Case Number | EO-2019329-000289 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TERRA BRANTLEY FOUNDATION |
| Organization’s Mailing Address | 15125 LORTIE ROAD |
| City | MONROEVILLE |
| State | IN |
| ZIP | 46773-9322 |
| Accounting period End | 12 |
| Primary contact name | TERRA BRANTLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
TERRA BRANTLEY
PRESIDENT
15125 LORTIE ROAD
MONROEVILLE IN 46773-9322
ALBERT BROWNLEE
TREASURER
5620 KENYON TRAIL
NOBLESVILLE IN 46062-6995
TAYLOR BRANTLEY
SECRETARY
5814 REED ROAD
FORT WAYNE IN 46835-3568
JEANNE ZEHR
DIRECTOR
6507 CONSTITUTION DRIVE
FORT WAYNE IN 46804-1551
JANE SURBECK
DIRECTOR
7904 GRASSLAND COURT
FORT WAYNE IN 46825-3152
| Organization’s website | HTTPS://GENESISOUTREACH.ORG/SECOND-CHANCE-SCHOLARSHIP/ |
|---|---|
| Organization’s email | TERRABRANTLEYFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/20/19 |
| Organization Incorporation State | IN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P20 - Human Service Organizations - Multipurpose |
| 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 | ALBERT BROWNLEE |
| Signature Title | TREASURER |
| Signature Date | 11/21/19 |
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