FORM 1023-EZ for BULLARD FAMILY FOUNDATION INC

Field Data
EIN 82-5519212
Case Number EO-2018145-000631
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BULLARD FAMILY FOUNDATION INC
Organization’s Mailing Address 5308 VAN DYKE RD
City LUTZ
State FL
ZIP 33558
Accounting period End 12
Primary contact name MARIO E TORRES ESQ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THADDEUS BULLARD
PRESIDENT
19117 LONG LAKE RANCH BLVD
LUTZ FL 33558

Officer/Director/Trustee Two

DONG-PHUONG COTEY
VICE PRESIDENT
10557 SAN TRAVASO DRIVE
TAMPA FL 33647

Officer/Director/Trustee Three

GEORGE LUTICH
CFO
13805 MONROES BUSINESS PARK
TAMPA FL 33635

Officer/Director/Trustee Four

MONICA HARRIS
SECRETARY
10734 ROCKLEDGE VIEW DRIVE
RIVERVIEW FL 33579

Officer/Director/Trustee Five

ROBERT ELDER
DIRECTOR
9911 LONE TREE LN
TAMPA FL 33612

Organization’s website WWW.BULLARDFAMILYFOUNDATION.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 THADDEUS BULLARD
Signature Title PRESIDENT
Signature Date 5/23/18

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