FORM 1023-EZ for BRAYLENS HOUSE INCORPORATED

Field Data
EIN 84-4410667
Case Number EO-2020069-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRAYLENS HOUSE INCORPORATED
Organization’s Mailing Address 8006 JENNIFER RIDGE PLACE
City LOUISVILLE
State KY
ZIP 40258
Accounting period End 12
Primary contact name LUGINA C FIFE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUGINA FIFE
EXECUTIVE DIRECTOR
8006 JENNIFER RIDGE PLACE
LOUISVILLE KY 40258

Officer/Director/Trustee Two

DESIREE BOLLER
SECRETARY
606 ORCHARD HILL DRIVE
LOUISVILLE KY 40214

Officer/Director/Trustee Three

LATONYA JOHNSON
TREASURER
6804 STONE HILL DRIVE
LOUISVILLE KY 40214

Officer/Director/Trustee Four

MAREISHA EDELEN
BOARD MEMBER
6108 PORT ANTONIO ROAD
LOUISVILLE KY 40219

Organization’s website BRAYLENSHOUSE.ORG
Organization’s email INFO@BRAYLENSHOUSE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2020
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G84 - Autism
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LUGINA FIFE
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/5/2020

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