FORM 1023-EZ for BRINGING LIFE INC

Field Data
EIN 86-3861011
Case Number EO-2021203-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRINGING LIFE INC
Organization’s Mailing Address 2375 CULPEPPER LN
City LINCOLN
State CA
ZIP 95648
Accounting period End 12
Primary contact name CLINT HERNDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID HORMANN
PRESIDENT & DIRECTOR
2375 CULPEPPER LN
LINCOLN CA 95648

Officer/Director/Trustee Two

TONY BOZZUTO
CFO & TREAS & DIRECTOR
102 KIWI CT
LINCOLN CA 95648

Officer/Director/Trustee Three

ALEXANDRA HORMANN
COO & SECRETARY
2375 CULPEPPER LN
LINCOLN CA 95648

Officer/Director/Trustee Four

COURTNEY BOZZUTO
CMO & DIRECTOR
102 KIWI CT
LINCOLN CA 95648

Officer/Director/Trustee Five

GINA SALATINO
DIRECTOR
751 CENTRAL PARK DR UNIT 1624
ROSEVILLE CA 95678

Organization’s website
Organization’s email INFO@BRINGING-LIFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
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 DAVID HORMANN
Signature Title PRESIDENT & DIRECTOR
Signature Date 7/20/2021

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