FORM 1023-EZ for BRIDGE THE GAP

Field Data
EIN 83-3009068
Case Number EO-2019035-000657
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRIDGE THE GAP
Organization’s Mailing Address 105 BONHAM CIRCLE
City COUNCIL BLUFFS
State IA
ZIP 51503-4976
Accounting period End 12
Primary contact name LORI J ANDERSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI ANDERSEN
PRESIDENT
105 BONHAM CIRCLE
COUNCIL BLUFFS IA 51503-4976

Officer/Director/Trustee Two

DAVID FLORA
VICE PRESIDENT
60050 KARNS RD
PACIFIC JUNCTION IA 51561-4096

Officer/Director/Trustee Three

MARK JOHNSON
SECRETARY
101 SUNNY RIDGE
COUNCIL BLUFFS IA 51503-1637

Officer/Director/Trustee Four

CAROL HAAS
TREASURER
806 S 35TH AVE
OMAHA NE 68105-1902

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 DAVID FLORA
Signature Title VICE PRESIDENT
Signature Date 1/11/19

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