FORM 1023-EZ for BETTER BRAIN FOUNDATION

Field Data
EIN 47-4339690
Case Number EO-2015201-000218
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETTER BRAIN FOUNDATION
Organization’s Mailing Address 650 S MAIN ST NUM 498
City FONTANA
State WI
ZIP 53125
Accounting period End 12
Primary contact name CORNELL WILSON III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REX LEWIS
DIRECTOR/INCORPORATOR
650 S MAIN ST NUM 498
FONTANA WI 53125

Officer/Director/Trustee Two

VON HAYES
BOARD MEMBER
638 SHERIDAN ROAD
HIGHWOOD IL 60040

Officer/Director/Trustee Three

CONNIE MCLEAN
BOARD MEMBER
1538 FOREST DRIVE
WILMETTE IL 60091

Officer/Director/Trustee Four

JOEL MAYERSOHN
BOARD MEMBER/INCORPORATOR
350 EAST LAS OLAS BLVD STE 1150
FORT LAUDERDALE FL 33301

Officer/Director/Trustee Five

EMILY LEWIS
ASSOCIATE BOARD MEMBER
2181 S TRENTON WAY
DENVER CO 80231

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2015
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 Yes
Compensation of Officer director trustee Yes
Donation of funds Yes
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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