FORM 1023-EZ for MINER BELL FOUNDATION

Field Data
EIN 81-3744651
Case Number EO-2016347-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MINER BELL FOUNDATION
Organization’s Mailing Address 155 BREWSTER STREET 4C
City MANSFIELD CENTER
State CT
ZIP 06250
Accounting period End 12
Primary contact name NANCY MINER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NANCY MINER
TRUSTEE
92 COVENTRY RD
MANSFIELD CENTER CT 06250

Officer/Director/Trustee Two

JAMIESON MINER
TRUSTEE
3 DEBBIE C
NORWICH CT 06360

Organization’s website
Organization’s email JMINER1234@AOL.COM
Organization Incorporated
Organization trust Yes
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2016
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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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