FORM 1023-EZ for BRYANT BUSH FOUNDATION INC

Field Data
EIN 46-1961599
Case Number EO-2016235-000468
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRYANT BUSH FOUNDATION INC
Organization’s Mailing Address 35 HIGH GARDEN TERRACE
City NEWNAN
State GA
ZIP 30263
Accounting period End 12
Primary contact name BRYANT BUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRYANT BUSH
CEO
35 HIGH GARDEN TERRACE
NEWNAN GA 30263

Officer/Director/Trustee Two

BRIAN TIDWELL
CFO
35 HIGH GARDEN TERRACE
NEWNAN GA 30263

Officer/Director/Trustee Three

CHRIS WILKERSON
SECRETARY
35 HIGH GARDEN TERRACE
NEWNAN GA 30263

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2013
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 46-1961599
Case Number EO-2014310-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRYANT BUSH FOUNDATION INC
Organization’s Mailing Address 26 KENDAL CT
City NEWNAN
State GA
ZIP 30263
Accounting period End 12
Primary contact name JAMES TIDWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JULIANNE BUSH
PRESIDENT
26 KENDAL CT
NEWNAN GA 30263

Officer/Director/Trustee Two

CHRIS WILKERSON
TREASURER
26 KENDAL CT
NEWNAN GA 30263

Officer/Director/Trustee Three

JAMES TIDWELL
SECRETARY
8701 KILKENNY CT
FORT MYERS FL 33912

Organization’s website BRYANTBUSH.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2013
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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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