FORM 1023-EZ for THE BRAEDON BARNETT FOUNDATION

Field Data
EIN 82-2050124
Case Number EO-2017220-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BRAEDON BARNETT FOUNDATION
Organization’s Mailing Address 2104 VALLEY DRIVE
City UNION CITY
State TN
ZIP 38261
Accounting period End 12
Primary contact name BRAD BOUCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD BOUCHER
PRESIDENT
2104 VALLEY DRIVE
UNION CITY TN 38261

Officer/Director/Trustee Two

DAVID HAGAN
VICE PRESIDENT AND TREASURER
836 SANDERS CHAPEL ROAD
UNION CITY TN 38261

Officer/Director/Trustee Three

AMY BURCHAM
SECRETARY
1801 WEDGEWOOD DRIVE
UNION CITY TN 38261

Organization’s website N/A
Organization’s email BRAD-BOUCHER71@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2017
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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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