FORM 1023-EZ for BENTLEY MEMORIAL FUND

Field Data
EIN 82-2639252
Case Number EO-2020262-000035
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BENTLEY MEMORIAL FUND
Organization’s Mailing Address 25505 WCR 53
City KERSEY
State CO
ZIP 80644
Accounting period End 12
Primary contact name MARK POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK POWELL
PRESIDENT
25505 WCR 53
KERSEY CO 80644

Organization’s website WWW.BENTLEYMEMORIALFUND.ORG
Organization’s email POWELLVS1@WHAT-WIRE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK POWELL
Signature Title PRESIDENT
Signature Date 9/16/2020
EIN 82-2639252
Case Number EO-2017243-000254
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENTLEY MEMORIAL FUND
Organization’s Mailing Address 25505 WCR 53
City KERSEY
State CO
ZIP 80644
Accounting period End 12
Primary contact name MARK POWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK POWELL
EXECUTIVE DIRECTOR
25505 WCR 53
KERSEY CO 80644

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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
Signature Title
Signature Date

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