FORM 1023-EZ for BRELBY FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-1490351 |
| Case Number | EO-2017311-000245 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BRELBY FOUNDATION |
| Organization’s Mailing Address | 7154 N 58TH DR |
| City | GLENDALE |
| State | AZ |
| ZIP | 85301 |
| Accounting period End | 12 |
| Primary contact name | KRYSTOPHER ZIOLKOWSKI |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ERIN VAN LIEW
EXECUTIVE DIRECTOR
15851 N 76TH LN
PEORIA AZ 85382
Officer/Director/Trustee Two
MICHAEL MORAMARCO
VICE EXECUTIVE DIRECTOR
3232 E CYPRESS ST
PHOENIX AZ 85008
Officer/Director/Trustee Three
DEVAN ORR
SECRETARY
615 E WEBER DR UNIT 1008
TEMPE AZ 85281
Officer/Director/Trustee Four
KRYSTOPHER ZIOLKOWSKI
TREASURER
8905 W LOCKLAND CT
PEORIA AZ 85382
Officer/Director/Trustee Five
BRIAN MATICIC
CREATIVE DIRECTOR
6753 W IRONWOOD DR
PEORIA AZ 85345
| Organization’s website | HTTP://BRELBY.COM/ |
|---|---|
| Organization’s email | FOUNDATION@BRELBY.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/5/2017 |
| Organization Incorporation State | AZ |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A60 - Performing Arts Organizations |
| 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 | |
| Signature Title | |
| Signature Date |
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