FORM 1023-EZ for BRANTLEY FRANCIS FOUNDATION

Field Data
EIN 83-3846816
Case Number EO-2019067-000516
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRANTLEY FRANCIS FOUNDATION
Organization’s Mailing Address 710 STONE CHURCH LANE
City GENESEO
State IL
ZIP 61254-9091
Accounting period End 12
Primary contact name JEANNA FRANCIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEANNA FRANCIS
CO-CHAIR
710 STONE CHURCH LANE
GENESEO IL 61254-9091

Officer/Director/Trustee Two

GARY MATTHEW FRANCIS
CO-CHAIR AND TREASURER
710 STONE CHURCH LANE
GENESEO IL 61254-9091

Officer/Director/Trustee Three

HOLLY FINEGAN
SECRETARY
874 HANFORD STREET
GENESEO IL 61254-9091

Officer/Director/Trustee Four

KATE ONG
DIRECTOR
427 NORTH STATE STREET
GENESEO IL 61254-9091

Officer/Director/Trustee Five

LIZ ROSE
DIRECTOR
2305 14TH AVENUE
MOLINE IL 61265-9091

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H98 - Pediatrics Research
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 No
Correctness Declaration Yes
Signature Name JEANNA FRANCIS
Signature Title CO-CHAIR
Signature Date 3/6/19

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