FORM 1023-EZ for BOZEMAN BARISTA FUND

Field Data
EIN 82-1783114
Case Number EO-2017256-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BOZEMAN BARISTA FUND
Organization’s Mailing Address 18 W MAIN ST
City BOZEMAN
State MT
ZIP 59715
Accounting period End 12
Primary contact name ERICA BRUBAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA BRUBAKER
VICE PRESIDENT
116 N 10TH AVE
BOZEMAN MT 59715

Officer/Director/Trustee Two

REBECCA HEEMSTRA
PRESIDENT
803 E DAVIS ST
BOZEMAN MT 59715

Officer/Director/Trustee Three

EVAN ANDERSON
SECRETARY
1215 S WILLSON AVE
BOZEMAN MT 59715

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2017
Organization Incorporation State MT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J12 - Fund Raising and/or Fund Distribution
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 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 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
Signature Title
Signature Date

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