FORM 1023-EZ for BXI FOUNDATION INC

Field Data
EIN 81-1817426
Case Number EO-2016132-000229
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BXI FOUNDATION INC
Organization’s Mailing Address 450 S ORANGE AVE - 650
City ORLANDO
State FL
ZIP 32801-7322
Accounting period End 12
Primary contact name BILL MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

IRVING MATTHEWS
DIRECTOR
9976 KILGORE ROAD
ORLANDO FL 32836-5710

Officer/Director/Trustee Two

JEFFREY CAMPBELL
DIRECTOR
2840 TUSKAWILLA RD
OVIEDO FL 32765-5063

Officer/Director/Trustee Three

ARTHUR LEE
DIRECTOR
9234 SOUTHERN BREEZE DRIVE
ORLANOD FL 32836-5054

Officer/Director/Trustee Four

PERCY LUNEY
DIRECTOR
1134 BRANTLEY ESTATES DRIVE
ALTAMONTE SPRINGS FL 32714-5614

Officer/Director/Trustee Five

WILLIAM MILLER
TREASURER
255 S ORANGE AVE - 600
ORLANDO FL 32801

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
One Third Support Gifts No
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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