FORM 1023-EZ for BREAD FOR THE JOURNEY FEATHER RIVERCHAPTER

Field Data
EIN 27-3475492
Case Number EO-2017219-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREAD FOR THE JOURNEY FEATHER RIVERCHAPTER
Organization’s Mailing Address POB 3075
City QUINCY
State CA
ZIP 95971
Accounting period End 12
Primary contact name MICHELLE FULTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE FULTON
PRESIDENT
130 SILVER CREEK ROAD
MEADOW VALLEY CA 95956

Officer/Director/Trustee Two

TRACY KEPPLE
SECRETARY
1853 LAPORTE ROAD
QUINCY CA 95971

Officer/Director/Trustee Three

AMY HAFSRUD
CHIEF FINANCIAL OFFICER
1657 DIAMOND MOUNTAIN ROAD
GREENVILLE CA 95947

Organization’s website
Organization’s email BFJFEATHER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/30/2010
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 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
Signature Title
Signature Date

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