FORM 1023-EZ for BREAST OF FRIENDS ORG

Field Data
EIN 83-4540918
Case Number EO-2019119-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAST OF FRIENDS ORG
Organization’s Mailing Address 12876 STERLING OAKS COURT
City DUBUQUE
State IA
ZIP 52002-9731
Accounting period End 12
Primary contact name CATHLEEN AVENARIUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BONNIE BELL BRUMMER
PRESIDENT
115600 W MARINA DRIVE
EAST DUBUQUE IL 61025

Officer/Director/Trustee Two

MICHELLE LANGE
VICE PRESIDENT
16570 W TIMS LANE
EAST DUBUQUE IL 61025

Officer/Director/Trustee Three

CATHLEEN AVENARIUS
TREASURER
12876 STERLING OAKS
DUBUQUE IA 52002-9731

Officer/Director/Trustee Four

CAIRAN MEYER
SECRETARY
4036 PEACH STREET
STITZER WI 53825

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CATHLEEN AVENARIUS
Signature Title TREASURER
Signature Date 4/25/19

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