FORM 1023-EZ for BRYSTRONG 4 LIFE FUND

Field Data
EIN 81-0809449
Case Number EO-2016012-000040
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRYSTRONG 4 LIFE FUND
Organization’s Mailing Address 9402 REIDEL ROAD
City PERRY HALL
State MD
ZIP 21128
Accounting period End 12
Primary contact name NICHOLAS EY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICHOLAS EY
TRUSTEE
9402 REIDEL ROAD
PERRY HALL MD 21128

Officer/Director/Trustee Two

HOLLY GOODENOUGH
TRUSTEE
1629 GRAY HAVEN COURT
BALTIMORE MD 21222

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2015
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 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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