FORM 1023-EZ for THE BREWFONTAINE FOUNDATION

Field Data
EIN 82-1183401
Case Number EO-2017107-000295
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BREWFONTAINE FOUNDATION
Organization’s Mailing Address 1153 MICHIGAN ST
City BELLEFONTAINE
State OH
ZIP 43311-2518
Accounting period End 12
Primary contact name ADAM M RAMMEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM RAMMEL
PRESIDENT
1153 MICHIGAN ST
BELLEFONTAINE OH 43311-2518

Officer/Director/Trustee Two

JERAMY FITZPATRICK
SECRETARY
2038 COUNTY ROAD 1
BELLEFONTAINE OH 43311-9457

Officer/Director/Trustee Three

BRIAN WALL
TREASURER
264 COUNTY ROAD 57 EAST
BELLEFONTAINE OH 43311-9581

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T21 - Corporate Foundations
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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