FORM 1023-EZ for BRANDON M BALLARD FOUNDATION

Field Data
EIN 27-1095401
Case Number EO-2015205-000523
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRANDON M BALLARD FOUNDATION
Organization’s Mailing Address 8710 85TH STREE COURT WEST
City TAYLOR RIDGE
State IL
ZIP 61284
Accounting period End 12
Primary contact name RANDY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES BALLARD
PRESIDENT
9710 85TH STREET COURT WEST
TAYLOR RIDGE IL 61284

Officer/Director/Trustee Two

KRISTIAN BALLARD
VICE PRESIDENT
9710 85TH STREET COURT WEST
TAYLOR RIDGE IL 61284

Officer/Director/Trustee Three

MINDY MCMANUS
SECRETARY
1921
HWY 94 IL 61279

Officer/Director/Trustee Four

RANDY HOLLERUD
TREASURE
401 WEST 4TH AVENUE
ANDALUSIA IL 61232

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2009
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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 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
Signature Title
Signature Date

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