FORM 1023-EZ for BLEEDFREE

Field Data
EIN 46-5667359
Case Number EO-2014310-000065
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLEEDFREE
Organization’s Mailing Address 263 EAST 3RD STREET APT 18
City KUNA
State ID
ZIP 83634
Accounting period End 5
Primary contact name JUSTIN LEVEQUE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTIN LEVEQUE
EXECUTIVE DIRECTOR
253 EAST 3RD ST APT 18
KUNA ID 83634

Officer/Director/Trustee Two

LONNA LIPPARELLI
BOARD PRESIDENT
15889 SUNSET STRIP SPACE 4
BROOKINGS OR 97415

Officer/Director/Trustee Three

JEREMY ROARK
BOARD VICE-PRESIDENT
825 S BONNEVILLE DR
NAMPA ID 83686

Officer/Director/Trustee Four

RICHARD GASKILL
SECRETARY
189 S TITAN PLACE
KUNA ID 83634

Organization’s website WWW.BLEEDFREE.COM
Organization’s email INFO@BLEEDFREE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/2014
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 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 No
One Third Support Gifts Yes
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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