Building International Bridges Application for 501(c)(3) status (successful)

Embed Size (px)

Citation preview

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    1/14

    f

    .

    m

    1023

    (Rev. June2006}

    Department of the Treasury

    Internal Revenue Service

    Applicationfor

    Recognition

    of Exemption

    UnderSection

    501(c)(3)of the

    InternalRevenue Code

    OMB No. 1545-0056

    Note:

    If exempt status is

    approved,

    this

    application will be

    open

    for

    public

    inspection.

    Us e the

    instructions

    to

    complete

    this

    application

    and for a

    definition

    of allbold

    items.Foradditionalhelp, call IRS Exempt

    Organizations

    Customer Account Services toll-free

    at 1-877-829-5500,

    Visit

    our

    website

    at

    www.irs.gov

    for

    forms

    and

    publications.

    Ifthe

    required information

    and

    documents

    are not

    submitted with payment

    of the

    appropriate user fee,

    the

    application

    may be returned to you.

    Attachadditional sheets

    to

    this application

    if you

    need more space

    to

    answer fully.

    Put

    your name

    and EiN on

    each sheet

    and

    identify

    each answer

    by

    Part

    and line

    number. Complete PartsI

    - X of

    Form 1023

    and

    submit only those Schedules

    (A

    through

    H)

    that

    applyto

    you.

    Identification

    ofApplicant

    1 Full

    name

    oforganization (exactlyas itappearsinyourorganizing document)

    Building

    International

    Bridges, Inc.

    3 Matting

    address

    (Numberandstreet)(see instructions)

    2314 DesotaDrive

    City

    or

    town, state

    or

    country,

    and ZIP + 4

    Ft,Lauderdale,

    Fl

    33301

    Room/Suite

    6 Primary contact (officer,

    director,

    trustee, or

    authorized

    representative)

    a

    Name:StephanMcCrea

    2 c/o Name(ifapplicable)

    4 Employer Identification Number (EIN)

    45-4561805

    5 Monthth eannual accounting period ends (01 -

    1 2 }

    12

    bPhone: 954-646-8246

    c Fax: (optional)

    7

    Are you

    represented

    by an

    authorized representative, such

    as an

    attorney

    or

    accountant?

    if"Yes/'

    provide

    the

    authorized representative's name,

    and the

    name

    and

    address

    of the

    authorized

    representative's firm, includeacompleted Form 2848,Power

    of

    Attorney

    and

    Declaration

    of

    Representative,with your applicationif youwouldlike us tocommunicate with your representative.

    Yes D

    No

    8 Was a

    person

    who is not one of

    your

    officers,

    directors, trustees, employees,

    or an

    authorized

    representative listedin line 7,paid,orpromised payment,tohelp plan, manage,oradviseyouabout

    thestructureoractivitiesofyour organization,orabout your financialor taxmatters? If"Yes,"

    provide the person's name, the name and address of the person's firm, the amounts paid or

    promised to be

    paid,

    and describe that person's roie.

    9a Organization's website:

    b Organization's

    email: (optional)

    DYes H No

    D

    Yes H No

    0 Certain organizationsare not required tofilean information return(Form 990 orForm990-EZ), if you

    aregranted tax-exemption,are youclaimingto beexcused from filing Form990 orForm 990-EZ?if

    "Yes,"

    explain,

    See the

    instructions

    for a

    description

    of

    organizations

    not

    required

    to

    fileForm

    990 or

    Form990-EZ.

    11 Date incorporated if a corporation, or formed, if other than a corporation. (MM/DD/YYYY) 04 / 06 / 2011

    12

    Were

    you

    formed under

    the

    laws

    of a

    foreign

    country?

    If

    "Yes,"

    state

    the

    country.

    D

    Yes H No

    For

    Paperwork

    Reduction

    Act

    Notice,

    see page 24 of the

    instructions.

    Cat, No, 17133K

    Form 1023 (Rev,6-2006)

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    2/14

    Form1023 (Rev. 8-2006)

    Name:

    Building

    International

    Bridges, inc.

    E i N : 45-1561805

    Page 2

    Organizational

    Structure

    Yo u must

    be a

    corporation (including

    a

    limited liability company),

    an

    unincorporated association,

    or a

    trust

    to be tax

    exempt

    (See instructions.)^DQ NOT

    fifethjs

    form unless youcancheck"Yes^on l ines

    -V ,

    2, 3, or 4.

    1 Are you acorporation?

    If

    "Yes," attachacopyofyourarticlesofincorporation showing

    certification

    0 Yes EH No

    offilingwiththeappropriate state agency.Includecopiesof anyamendmentstoyourarticles and

    be

    sure they also show state filing certification.

    2 Are you a

    limitedliabilitycompany (LLG)? If

    "Yes,"

    attach

    a

    copy

    o f

    your articles

    of

    organization showing

    certification

    of filing

    with

    theappropriatestateagency.Also, if youadopteda noperating agreement, attach

    acopy. Include copiesof anyamendmentstoyour articlesand b e

    sure

    they showstatefiling certification.

    Refer to the

    instructions

    forcircumstances

    when

    an LLC should no t

    file

    its ownexemption appiication.

    3 Are you anunincorporatedassociation? If"Yes," attach a copy of your articles of association,

    constitution, or other similar organizing document that is dated and includes at least two

    signatures,

    include signed

    and

    dated copies

    of any

    amendments.

    4a Are you atrust? if"Yes," attachasignedanddated copyofyour trust agreement, Include signed

    and

    dated copies of any amendments.

    b Have you beenfunded?If "No," explainhow you are formed without anythingof valueplaced intrust.

    DYes HNo

    D

    Yes El No

    D

    Yes

    No

    D

    Yes

    D

    No

    5 Have you adoptedbylaws?if "Yes," attach a current copy showing date ofadoption,if "No,"

    explain

    ho w your officers, directors,

    or

    trustees

    areselected.

    0 Yes

    D

    No

    Required Provisions in Your OrganizingDocument

    The following

    questions are

    designed

    to

    ensure that when

    you

    file

    thisapp lication,

    your

    organizing

    document

    contains the required provisions

    to meet the organizationaltestunder section501(c)(3).Unlessyou cancheckthe boxesinboth lines1 and 2,yourorganizing document

    does

    not

    meet

    the

    organizationaltest,

    DO NOT

    f ife

    this

    application

    until

    youhave

    amended

    your

    organizing document.

    Submit your

    original an d

    amended organizing

    documents

    (showing state filing certification

    if you are a

    corporation

    or anLLC)with

    your

    application,

    1

    Section

    501(c)(3)

    requires that your organizing document state your exempt

    purpose(s),

    such

    as

    charitable,

    0

    religious,educationaland/or

    scientific

    purposes. Check

    the box to

    confirm that your organizing document

    meets this requirement. Describe specifically where your organizing document meets thisrequirement,such as

    a reference to a particular article or section in your organizing document.

    Refer

    to the instructions for exempt

    purpose language. Location of Purpose Clause

    (Page,

    Article, and Paragraph): Article2

    2a

    Section501(c)(3)requires that upon dissolution

    of

    your organization, your remaining assets must

    be

    used exclusively

    for exemptpurposes, such as charitable, religious, educational,and/or scientific purposes. Check the box on line 2a to

    confirm thatyourorganizing document meets this requirementby

    express

    provisionfor thedistribution of assets upon

    dissolution. If you rely on statelaw for yourdissolution provision, do notcheck the box on line2a and go to

    line

    2c .

    Ifyou checked the box on line 2a, specify the location of yourdissolutionclause (Page, Article, and Paragraph).

    Do not

    complete

    line 2c if you

    checked

    box 2a. Article8

    El

    2b

    2c

    See the instructions for information about the operation of state law in your particular state. Check this box if

    you

    rely on operation of state law for your dissolution provision and indicate the

    state:

    n

    Narrative Descriptionof Your Activities

    Using an attachment, describe yourpasf,

    present

    an d

    planned

    activities in a narrative, if you

    believe

    that you

    have

    alreadyprovidedsome of

    this information in response to other parts of thisapplication,you m ay summ arize that informa tion here a nd

    refer

    to the specificpartsof the

    appiicationfo rsupporting

    details.

    You m ay alsoattachrepresentative

    copies

    of newsletters,brochures,or similar

    documents

    forsupporting

    details to

    this

    na rrative.

    Remember that

    if thisap plication is

    approved,

    it will b e

    open

    for

    public inspection.Therefore,

    your narrative

    description of activities should bethoroughand accurate. Refer to the instructions for informationthatmust be

    included

    in yourdescription.

    Compensation and Other Financial Arrangements With

    Your Officers,Directors, Trustees,

    Employees,and

    independent

    Contractors ______ ^

    1a List the

    names,

    titles, andmailing addressesof all ofyour officers, directors,andtrustees.Foreach person listed, state their

    to tal

    annualcompensation,, or proposed

    compensation,

    for all

    services

    to the organization,

    whether

    as an

    off icer,

    employee,or

    otherposition.

    U se

    actual

    f igures, if

    available.

    Enter

    "none"

    if no

    compensation

    is or

    will

    b e

    paid.

    If

    additionalspace

    is

    needed,

    attach a separate sheet.

    Refer

    to the instructionsfor informationon

    what

    to includeas compensation.

    Name

    Stephan

    McCrea

    A

    BahrnanAzarrn

    JessiesLeighLawson

    Title

    .

    Director/Chairperson/Sec/Treas

    Director

    Director

    Mailing

    address

    2314 DesotaDrive

    Ft.Lauderdale,Fl33301

    2314 DesotaDrive

    Ft.Lauderdlae,F 33301

    2314 DesotaDrive

    Ft.

    Lauderdale,

    Fi33301

    Compensation amount

    (annualactual

    or

    estimated)

    Form

    1023 (Rev,6-2006)

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    3/14

    Form 1023 (Rev. 6-2006)

    Name

    Building International Bridges, Inc.

    EiN:

    4 5 - 1 5 6 1 8 0 5

    Page3

    Compensation and

    Other

    Financial

    Arrangements With

    YourOfficers,Directors,Trustees,

    Employees,

    and

    Independent

    Contractors{C ontinued)

    b

    List

    the

    names, titles,

    and

    mailing addresses

    of

    each

    of

    your five highest compensated employees

    who

    receive

    or

    will

    receivecompensation of more than $50,000 per year, Use the actual figure, if available. Refer to theinstructionsfor

    information on

    what

    to

    include

    as

    compensation.

    Do not

    includeofficers,directors,

    or

    trustees listed

    in

    line

    1a,

    Name

    none

    Title

    Mailing

    address

    Compensation

    amount

    (annualactual or estimated)

    List the names,

    names

    of

    businesses,

    and

    mailing addresses

    of

    yourfivehighest compensated

    independentcontractors

    thatreceiveor willreceive compensationofmore than $50,000peryear.Use the actualfigure,ifavailable.

    Refer

    to the

    instructions for information on what to include as compensation.

    Name

    none

    Title

    Mailing address

    Compensation amount

    (annual

    actual

    or estimated)

    Thefollowing "Yes" or

    "No"

    questions relate topast

    present, or planned

    relationships, transactions, or agreements with your officers,

    directors, trustees, highest

    compensated

    employees, and highest

    com pensated

    independent

    contractors

    listed

    in

    lines 1a, 1b ,

    and 1c.

    D

    Yes

    D

    Yes

    0 No

    0 No

    D

    Yes 0 No

    2a Are any of your officers,

    directors,

    or trustees

    related

    to each other

    throughfamilyor business

    relationships? if

    "Yes/'

    identifythe individualsandexplainthe relationship,

    b Do youhaveabusiness relationship withany ofyour officers, directors,ortrustees other than

    through

    their position

    as an

    officer, director,

    or

    trustee?

    If"Yes,"

    identify

    the

    individuals

    and

    describe

    the business relationship with each of your officers,

    directors,

    or trustees.

    c Are any of

    your

    of f icers,

    directors,

    or

    trustees related

    to

    your highest compensated employees

    or

    highest

    compensated independent contractors listed

    on lines 1b or 1c

    through family

    or

    business

    relationships? If

    "Yes," identifytheindividualsand

    explain

    the relationship.

    3a For

    each

    of

    your officers, directors, trustees, highest compensated

    employees, and

    highest

    compensated independent contractors listed

    on

    lines

    1a,1b,or 1c,

    attach

    a

    list showing their name,

    qualifications,

    average hours worked, and duties.

    b Do any of

    your officers, directors, trustees, highest compensated employees,

    and

    highest F

    Yes 0 No

    compensated independent contractors

    listed

    on lines 1a, 1b, or 1c receive compensation from any

    other

    organizations, whether

    tax

    exempt

    or

    taxable, that

    are

    related

    to you

    through

    common

    control? If"Yes,"

    identify

    the

    individuals,

    explainthe

    relationship between

    you and the

    other

    organization,

    and

    describe

    the

    compensation arrangement.

    4 In

    establishing

    the

    compensation

    for

    your officers, directors, trustees, highest compensated

    employees,and

    highest compensated independent contractors listed

    on

    lines

    1a,1b,and1c,the

    followingpractices

    are

    recommended, although they

    are not

    required

    to

    obtain exemption. Answer

    "Yes" to

    al

    the

    practices

    you

    use.

    a

    Do you orwillthe

    individualsthat approve compensation arrangements follow

    a

    conflict

    of

    interestpolicy?

    0 Yes

    d

    No

    b Do you or

    will

    you

    approve compensation arrangements

    in

    advance

    of

    paying compensation?

    0 Yes EH No

    c Do you orwillyoudocument inwritingthedateandtermsofapproved compensation arrangements? 0 Yes

    D

    No

    Form 1023 (Rev.6-2006)

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    4/14

    Form

    1023 (Rev. 8-2006)

    Name:Building International Bridges,Inc.

    E N

    45 _

    1561805

    Page

    4

    Compensation and

    Other Financial Arrangements WithYour Officers,Directors,Trustees,

    Employees, andindependent

    Contractors

    Cont inued)

    d

    Do you or

    will

    you

    record

    in

    writing

    the

    decision made

    by

    each individual

    who

    decided

    or

    voted

    on 0 Yes

    D

    No

    compensation arrangements?

    e Do you orwillyou

    approve compensation arrangements based

    on

    information about compensation paid

    by 0 Yes

    D

    No

    similarly situatedtaxable

    or

    tax-exempt organizations

    or

    similar

    services,

    current compensationsurveys

    compiled

    byindependent f irms, or actualwritten offersfromsimilarlysituated organizations?

    Refer

    to the

    instructions for

    Part

    V,

    iines

    la,

    1b ,and 1c, for

    information

    on

    what

    to

    include

    as

    compensation.

    f Do you or

    will

    you

    record

    in

    writing both

    the

    information

    on

    which

    you

    relied

    to

    base your decision

    0 Yes CD

    No

    and its source?

    g

    If

    you

    answered"No"

    to any

    item

    on lines 4a

    through

    4f,

    describe

    how you set

    compensation that

    is

    reasonablefor your officers,directors, trustees, highest compensated

    employees,

    and highest

    compensated independent contractors listedin Part V, lines 1a,1b,and 1c.

    5a

    Haveyouadopted aconflictof

    interest policy

    consistent withthesample conflictofinterestpolicy 0

    v

    HN

    in

    Appendix

    A to the

    instructions? If"Yes," provide

    a

    copy

    of the

    policy

    and

    explain

    how the

    policy

    has

    been adopted, such as by resolution of your governing board. If"No,"answer lines 5b and 5c.

    b

    What procedures will

    you follow to

    assurethatpersons

    who

    have

    a

    conflict

    of

    interest will

    not

    have

    influence over you for setting their own compensation?

    c What procedures will you follow to assure that persons who have a conflict of interest will not have

    influence over you regarding business deals with themselves?

    Note:

    A conflict of interest policy is recommended though it is not required toobtainexemption.

    Hospitals,

    see

    Schedule

    C, Section I,

    line

    14,

    6a Do you or

    will

    you compensate any of

    your o fficers,

    directors, trustees, highest compensated employees, CDYes

    0

    No

    and

    highest compensated independent contractors listed

    in

    lines 1a,

    1b, or 1c

    throughnon -fixed

    payments,

    suchas discretionary bonusesor revenue-based

    payments?

    if

    "Yes,"

    describe

    all non -fixed

    compensation arrangements, including

    how the

    amounts

    are

    determined,

    who is

    eligible

    for

    such

    arrangements,

    whether

    you

    place

    a

    limitation

    on

    total compensation,

    and how you

    determine

    or

    will

    determine

    that you pay nomore than reasonable compensationfor services.

    Refer

    to theinstructionsfo r

    Part V, iines 1a, 1b , and 1c, forinformationonwhatto includea scompensation.

    b

    Do you orwillyoucompensateany ofyour employees, other than your officers,

    directors,

    trustees,

    (H| yes

    0 No

    or your

    f ive

    highest compensated employees who receive or will receive compensation of more than

    $50,000 per

    year,

    through non-fixed

    payments,

    such as discretionary bonuses or revenue-based

    payments? If "Yes," describe allnon-fixed compensation arrangements,

    including

    how the amounts

    are or

    will

    be

    determined,

    who is or will be

    eligible

    for

    such arrangements, whether

    you

    place

    or

    wil l

    place a limitation on totalcompensation,and how you determine or will determine that you pay no

    more than reasonable compensation for services. Refer to the instructions for Part V, lines 1a,

    1b,

    and 1c, for information on what to include as compensation.

    7a Do you or

    will

    you

    purchase

    any

    goods, services,

    or

    assets from

    anyof

    your officers, directors,

    CD Yes 0 No

    trustees, highest compensated

    employees,

    or highest compensated independent contractors listed in

    lines 1a,

    1b,

    or 1c? Sf"Yes," describeany such purchasethatyou made orintendto make, from

    whom you make or will make such purchases, how the terms are or will be negotiated atarm's

    length,and explain how you determine or will determine that you pay no more than

    fair market

    value,Attachcopiesof anywritten contractsorother agreementsrelatingtosuchpurchases.

    b

    Do you or

    will

    you

    sell

    any

    goods, services,

    or

    assets

    to any of

    your officers, directors, trustees,

    CD Yes 0 No

    highest compensated employees, or highest compensated independent contractors listedin iines 1a,

    1b,or 1c? If "Yes," describe any such salesthatyou made or intend to make, to whom you make or

    will

    make such sales,

    how the

    terms

    are or

    will

    benegotiatedat

    arm's length,

    and

    explain

    how you

    determine or will determine you are or will bepaidat least fair market value. Attach copies of any

    written contracts

    or

    other agreements relating

    to

    such sales.

    8a Do you orwillyouhaveanyleases, contracts, loans,orother agreements with your officers, directors, CD Yes 0 No

    trustees, highest compensated employees,orhighest compensated independentcontractors listed in

    lines

    1a,

    1b,

    or 1c ? If"Yes," provide the information requested inlines

    8b

    through 8f.

    b Describeanywrittenororal arrangements thatyoumadeorintendtomake,

    c

    identify with whom

    you

    have

    or

    will have such arrangements.

    d Explain how the terms are or will be negotiated at arm'slength.

    e Explain how you determine you pay no more

    than

    fair

    market

    value or you are

    paid

    at least

    fair

    market

    value,

    f Attach

    copies

    of an y

    signed

    leases,

    contracts, loans,

    o r

    other agreements relating

    to

    such arrangements.

    9a Do you or

    will

    you

    have

    any

    leases, contracts, loans,

    or

    other agreements with

    any

    organization

    in D Yes 0 No

    which

    any of

    your officers,directors,

    or

    trustees

    are

    also officers,

    directors,

    or

    trustees,

    or in

    which

    any individual officer,director,or trustee owns more than a359/o interest?

    If "Yes,"

    provide the

    information requested in lines 9b through 9f.

    Form 1023 (Rev. 6-2006)

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    5/14

    F o r m 1 0 2 3 ( R e v . 6 - 2 0 0 6 ) N a m e : BuildingInternational

    Bridges,

    Inc. E J N - . 45-1561805 P a g e 5

    S iTilflJ

    Compensation

    andOther Financial Arrangements With Your Officers,

    Directors, Trustees,

    Employees, and

    independentContractors

    Con t inued ) _____________^^

    b Describe any written or oral arrangements you made or intend to make,

    c

    Identifywith whom

    yo u

    have

    o r

    will have such arrangements.

    d

    Explain

    how the

    terms

    are orwillbe

    negotiated

    at

    arms length,

    e Explain how you

    determine

    or will

    determine

    you pay no

    more than fair market value

    o r

    that

    you are

    paid at least fair marketvalue.

    f

    Attach

    a

    copy

    of any

    signed

    leases,

    contracts,

    loans, or other agreements

    relating

    to

    such arrangements,

    YourMembers and Other Individuals and Organizations ThatReceive BenefitsFromYou

    The fol lowing "Yes"

    or "No" questions relate to

    goods,

    services, and funds you provide to individuals and organizations as part

    of

    your activities.

    Your

    answers should pertain topast

    present,

    andplannedactivities. (See instructions.)

    1a

    In

    carrying

    out

    your exempt purposes,

    do you

    provide goods, services,

    or

    funds

    to indix/iduals? If DYes 0 No

    "Yes/' describe each program that provides goods,

    services,

    or funds to individuals.

    b incarryingoutyour exempt purposes,do youprovide

    goods,

    services,orfundstoorganizations?if

    H

    Yes DNo

    "Yes,"

    describe each program that provides

    goods,services,

    or funds

    to

    organizations.

    2

    Do any of

    your programs

    limit the

    provision

    ofgoods,

    services,

    or

    funds

    to a

    specific

    individualor DYes 0 No

    group

    of

    specific individuals?

    For

    example, answer

    "Yes," ifgoods,

    services,

    or

    funds

    ar e

    provided

    only

    for a particular

    individual,

    your members, individuals who work for a particular

    employer,

    or

    graduates

    o f a

    particular school.

    If

    "Yes,"

    explain the limitation and how

    recipients

    ar e

    selected

    fo r

    each program.

    3 Do any

    individuals

    who

    receive goods, services,

    or

    funds through your programs have

    a

    family

    or D Yes 0 No

    businessrelationship with an yofficer, director, trustee,or withany ofyour highest compensated

    employees or highest compensated independent contractors

    listed

    in Part V, lines 1a,

    1b,

    and 1c? if

    "Yes," explainh ow these related individuals ar eeligiblef or goods,services,o rfunds.

    Th efoilowing

    "Yes"

    or"No" questions relate to your history. (See instructions.)

    1 Are you a

    successor

    toanother organization? Answer "Yes,"if youhave takenorwii take overthe DYes 0 No

    activities of another

    organization;

    you

    took

    over 25% or more of the fair market value of the net

    assets

    of

    another organization;

    or you

    were established upon

    the

    conversion

    of an

    organization from

    for-profi t to

    non-profit status.

    Sf

    "Yes," complete Schedule

    G,

    2 Are yousubmitting this application more than27months afterthe end of themonthinwhichyou

    D

    Yes 0 No

    werelegallyformed? if "Yes,"

    complete

    Schedule E.

    YourSpecific

    Activities

    The following "Yes"

    or "No"

    questions

    relate to

    specific activities

    that you may

    conduct. Check

    the

    appropriatebox. Your

    answersshould pertain topast present andplannedactivities. (See instructions.)

    1 Do yousupport oroppose candidates inpoliticalcampaigns in anyway?If"Yes," explain, DYes 0 No

    2a Do youattemptto

    influence

    legislation?if"Yes," explainhow youattemptto

    influence

    legislation

    D

    Yes 0 No

    and

    complete

    line 2b. If "No," go to line 3a.

    b Haveyou

    made

    or are you

    making

    anelectionto have

    your legislative activities measured

    by DYes 0 No

    expenditures by

    filing Form 5768? If

    "Yes/

    5

    attach

    a

    copy

    of the

    Form 5768 that

    was already

    filed

    or

    attach a completed Form 5768 that you are filing with this

    application.

    If"No,"describe whether your

    attempts to influence legislation are a substantial part of your activities. Include the time and money

    spent on your attempts to influence legislation as compared to your total activities.

    3a Do you orwillyouoperate bingoorgamingactivities? If"Yes/'describewhoconducts them,and DYes 0 No

    listallrevenue receivedorexpected to bereceivedandexpenses

    paid

    orexpectedto be

    paid

    in

    operating these activities.

    Revenueandexpenses

    should

    be

    provided

    for the

    time periods specified

    in

    Part IX, Financial Data.

    b Do you or v w \ U youenter

    into

    contractsor

    other

    agreements withindividualsor

    organizations

    to DYes 0 No

    conduct bingo or gaming for you? If "Yes," describe any written or oral arrangements that you made

    or intendto

    make,

    identifywith

    whom

    you

    have

    orwill

    have such arrangements,

    explain how the

    terms are or will be negotiated at arms length, and explain how you determine or will determine you

    pay no

    more than fair market value

    or you

    will

    b e

    paid

    at

    least fair market value. Attach copies

    or

    an ywritten contracts or other agreements relating to such arrangements.

    c List the

    states

    and local

    jurisdictions,

    including Indian

    Reservations,

    in

    which

    you conduct or

    will

    conduct gaming or bingo.

    Form 1023

    (Rev.

    8-2006}

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    6/14

    Form 1023

    (Rev,

    6-2006)

    Name:Building

    International

    Bridges, Inc.

    E I N :

    451561805

    Your

    Specific Activities (Continued)

    4a Do you orwillyouundertake fundraissng? If

    "Yes,"

    check ailthefundraising programsyou do orwill 0 Yes CD No

    conduct. (See instructions.)

    0 mail solicitations 0 phone solicitations

    D

    email solicitations CDaccept donationsonyour website

    C D

    personal

    solicitations CD

    receive donations from another organization's website

    C D

    vehicle,

    boat,

    plane, or

    similar donations

    CD government grant

    solicitations

    C D

    foundation grant solicitations CD Other

    Attach

    a

    description

    of

    each fundraising program.

    b Do you orwillyouhave writtenororal contracts withany

    individuals

    ororganizationstoraise funds ED Yes 0 No

    fo r

    you? If "Yes," describe these activities. Includeall revenue and expenses from these activities

    and state who conducts them. Revenueand expenses should be provided for the time periods

    specified in Part IX ,Financial Data, Also, attach a copy of any contracts or agreements.

    c Do you or

    will

    you

    engage

    in fundraising

    activities

    for

    other organizations?

    If

    "Yes," describe these

    CD Yes 0 No

    arrangements,includea description of the organizations for which you raise funds and attach copies

    of all contracts or agreements.

    d List ail states and local jurisdictions in which you conduct fundraising. For each state orlocal

    jurisdiction listed,specify whether

    you

    fundraise

    for

    your

    own

    organization,

    you

    fundraise

    for

    another

    organization, or another organization fundraises for you.

    e Do you orwillyoumaintain separate accountsfor anycontributor under whichthecontributor has ED Yes 0 No

    the right to

    advise

    on the use or

    distribution

    of

    funds? Answer "Yes"

    if the

    donor

    may

    provide advice

    on

    the types of investments, distributions from the types of investments, or thedistributionfrom the

    donor'scontributionaccount.

    If

    "Yes,"describe this program, including

    the

    type

    of

    advicethat

    may

    be provided and submit copies of any written materials provided to

    donors.

    5 A reyou

    affiliated

    with

    agovernmental unit? I f _ _ Y _ e s ,

    explain.

    D Yes 0 No

    6a

    Do you or

    will

    you

    engage

    in

    economic development? If "Yes," describe yourprogram. Q

    Yes 0 No

    k Describe infullwho benefitsfrom your economic development activities and how theactivities

    promoteexempt purposes.

    7a Do or

    will

    persons other than your employeesorvolunteersdevelopyour facilities?If"Yes," describe ED Yes 0 No

    each facility, the role of the developer, and any business or family relationship(s) between the

    developer

    and your officers, directors, or trustees.

    b Do orwill persons other than your employeesorvolunteersmanageyour activitiesorfacilities?If CD Yes 0 No

    "Yes,"

    describe each activity

    and

    facility,

    the

    role

    of the

    manager,

    and any

    business

    or

    family

    relationship(s) between the manager and your officers, directors, or trustees.

    c If

    there

    is a

    business

    or

    family relationship between

    any

    manager

    or

    developer

    and

    your officers,

    directors, or trustees, identify the individuals, explain the relationship, describe how contracts are

    negotiated atarm'slength so that you pay no more than fair market value, and submit a copy of any

    contracts or other agreements.

    8 Do you or

    wil l

    youenter intojoint ventures, including partnerships orlimited liabilitycompanies CD

    Yes 0 No

    treated as partnerships, in which you share profits and losses with partners other than section

    501(c)(3)organizations? If"Yes,"

    describe

    the activities of these joint ventures in which you

    participate.

    9a

    Are you applying for

    exemption

    as a childcare

    organization under

    section

    501

    (k)?if

    "Yes," answer

    CD Yes 0 No

    lines

    9b through 9d.

    If

    "No," go to line 10.

    b Do you providechildcare so that parents or caretakers of children you care for can begainfully CD Yes CDNo

    employed

    (see

    instructions)?

    If

    "No/

    5

    explain how you qualify as a childcare organizationdescribed

    in

    section

    501(k).

    c Of thechildrenfor whom you providechildcare, are 85% or more of them cared for by you to CD Yes CD No

    enable their parents

    or

    caretakers

    to be

    gainfully

    employed

    (see

    instructions)? If"No/'explainhow

    yo u qualify as a chiidcare organization described in section 50 1(k).

    d Are

    your services available

    to the

    general public?

    if

    "No/

    5

    describe

    the

    specific group

    of

    people

    for CD Yes Q No

    whom

    your activities are available. Also, see the instructions and explain how you qualify as a

    childcare organizationdescribedin section 501 (k).

    10 Do you or

    will

    you

    publish, own,

    or

    have

    rights in

    music,

    literature,

    tapes, artworks, choreography,

    CD Yes HNo

    scientific discoveries,

    or

    other inteflectuafproperty? If "Yes," explain, Describe

    who

    owns

    or

    will

    own anycopyrights,patents, or

    trademarks,

    whether feesare or will becharged,how the fees are

    determined, and how any items are or will be produced,distributed,and marketed.

    Form 1023 (Rev.6-2006}

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    7/14

    Form

    1023 ( R e v 6-2006) Name:Building International Bridges,Inc. E I N : 45- 1561805 Page 7

    liSBlWIII

    Your

    SpesfficActivities

    (Continued)

    11 Do you or

    will

    youaccept contributionsof:

    real

    property; conservation easements; closely held

    EU

    Yes 0 No

    securities;

    intellectual

    property such

    as

    patents, trademarks,

    and

    copyrights; works

    of

    music

    orart;

    licenses: royalties; automobiles, boats, planes, or other vehicles; or collectibles of any type?

    If

    "Yes,"

    describe each typeofcontribution, anyconditions imposed by thedonoron thecontribution,and

    an yagreements with the donor regarding the contribution,

    12a

    Do you or

    wi l

    you

    operate

    in a

    foreigncountryorcountries?

    If

    "Yes," answer lines

    12b

    through fl

    Yes

    H

    No

    12d.

    if

    "No,"goto

    line13a.

    b Name the foreign countries and regions within the countries in which you operate.

    c Describe youroperationsineach country andregion inwhichyou operate,

    d Describe how your operations in each country and region further your exempt purposes.

    13a Do you or will you make grants,

    loans,

    or other distributions to organization(s)? if "Yes," answer lines Dl Yes E3 No

    13b

    through 13g, If"No,"

    go to

    line 14a.

    b Describe how

    your

    grants, loans, orother distributionstoorganizations further

    your

    exempt purposes.

    c Do you

    have

    written contractswith eachofthese organizations?If"Yes,"attachacopyofeachcontract.

    D

    Yes D No

    d Identify each recipient organizationand any

    relationship

    betweenyou and therecipient organization,

    e

    Describe

    the

    records

    you

    keep with respect

    to the

    grants, loans,

    or

    other distributions

    you

    make.

    f Describe your selection process, including whether you do any of the

    following:

    (i)

    Do you

    require

    an

    application form?

    if

    "Yes," attach

    a

    copy

    of the

    form.

    DYes D No

    (ii) Do yourequireagrant proposal? if"Yes," describe whetherthegrant proposalspecifies your Di Yes

    D

    No

    responsibilities

    and those of the grantee, obligates the grantee to use the grant funds only for the

    purposes for which the grant was made, provides for periodic written reports concerning the use

    of

    grant funds, requires a final written report and an accounting of how grant funds were used,

    and acknowledges your authority towithholdand/or recover grant funds in case such funds are,

    orappearto be, misused.

    g

    Describe your procedures

    for

    oversight

    of

    distributions that assure

    you the

    resources

    are

    used

    to

    further

    your exempt

    purposes,

    including whether

    you

    require periodic

    and

    final reports

    on the use of

    resources.

    14a Do you orwillyoumake grants, loans,orother distributions toforeign organizations?If"Yes," flYes E3 No

    answer lines 14b through141if"No."go to line 15 .

    b Provide the name of each foreign organization, the country and regions within a country in which

    each foreign organization operates, and describe any relationship you have with each foreign

    organization.

    c

    Does

    any

    foreign organization listed

    in

    line

    14b

    accept contributions earmarked

    for a

    specific country

    DYes

    D

    No

    or specific organization? If "Yes," list

    ail

    earmarked organizations

    or

    countries.

    d Do

    your contributors know that

    you

    have ultimate authority

    to use

    contributions made

    to you at

    your

    DYes DNo

    discretion

    for

    purposes consistent with your exempt purposes?

    if

    "Yes," describe

    how you

    relay this

    informationtocontributors.

    e Do you or

    will

    youmake pre-grant inquiriesabouttherecipientorganization? if"Yes,"describethese

    d

    Yes D No

    inquiries, includingwhether

    you

    inquire about

    the

    recipient's financial

    status, its tax-exempt

    status

    under

    the internal

    RevenueCode,

    its

    ability

    to

    accomplish

    the purpose for which the resources are

    provided, and other relevant information.

    1

    Do you orwillyou use anyadditional procedurestoensure that your distributions toforeign

    D

    Yes DNo

    organizations are

    used

    in

    furtherance

    of

    your exempt purposes? If"Yes," describe these

    procedures,

    including

    site visits

    by

    youremployees

    or

    compliancechecks

    by

    impartialexperts,

    to

    verifythat grant

    funds are being usedappropriately.

    Form

    1023 (Rev.6-2006}

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    8/14

    Form 1 0 2 3

    ( R e v

    6-2006) Name Buildinginternational Bridges,inc.

    E S N

    45 - 1561805 Page

    8

    Your

    Specific Activities

    Continued)

    15 Do you havea

    close

    connection

    with

    anyorgamzations?

    If

    _ Yes,"explain. D

    Yes

    JZl

    No

    16

    Are you

    applying

    for

    exemption

    as a cooperativehospitalserviceorganization

    under section

    DYes 0 No

    501

    (e)?

    if "Yes,"explain.

    17

    Are youapplyingforexemptionas a

    cooperative service organization

    of

    operating educational D

    Yes H No

    organizations

    under section

    S^Q^JP'Yes/ exp^n. _________

    18 Are you

    applying

    for

    exemption

    as a

    charitable risk poolunder section 50 1 (n)?

    If

    "Yes," expiain. Q

    Yes H No

    19 Do you orwillyouoperatea

    school?

    If

    "Yes,"

    completeScheduleB.Answer"Yes/'whetheryou

    D

    Yes HI No

    operate aschoolas your main functionor as asecondary activity.

    20

    syour

    main function

    to

    provide

    hospitalormedicalcare?If

    "Yes,"

    complete

    Schedule

    C. D Yes B No

    21 Do you orwillyouprovidelow-income

    housing

    orhousingfor theelderlyorhandicapped?if

    D

    Yes El No

    "Yes,"

    complete Schedule F.

    22 Do you orwillyouprovide scholarships, fellowships, educational loans,orothereducationalgrantsto DYes H No

    individuals, including grants fo rtravel, study,or other similar purposes? If"Yes," complete

    Schedule

    H.

    Note: Private foundationsmay use Schedule H to request advance approval of individual grant

    procedures,

    Form 1023 (Rev. 6-2006)

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    9/14

    Form 1023

    (Rev,6-2006)

    Nam*

    Building International Bridges, Inc.

    EiN:

    45-

    1561805

    Page 9

    Financial Data

    Fo rpurposes of this schedule, years in existence refer to completed tax years. Sf nexistence 4 or more years, complete the

    schedule for the

    most recent

    4 tax

    years. If

    in

    existence more than

    1

    year

    but

    less than

    4

    years,complete

    the

    statements

    for

    each year

    in

    existence

    and

    provide projections

    of

    your likely revenues

    and

    expenses based

    on a

    reasonable

    and

    goodfaith

    estimate of your future finances for a total of 3 years of financial

    information,

    if in existence less than 1 year, provide projections

    of

    yourlikely revenuesandexpensesfor thecurrent yearand the 2followingyears,

    based

    on areasonableand

    good

    faith

    estimate of your future finances for atotalof 3 years of financial information. (See instructions.)

    A,

    Statementof Revenues and Expenses

    R

    e

    Type

    of revenue or

    expense

    1 Gifts, grants,and

    contributions received (do not

    include

    unusual grants)

    2

    Membership fees received

    3

    Gross investment income

    4 Net unrelated business

    income

    5 Taxes levied for your benefit

    6 Valueof services or faciiities

    furnished by agovernmental

    unit without charge (not

    including the value of services

    generally furnished to the

    publicwithout charge)

    7 Any revenue not otherwise

    listed aboveor inlines9-12

    below (attach an itemized list)

    8 Totaloflines1through7

    9 Gross

    receipts

    from admissions,

    merchandisesoldor services

    performed, or

    furnishing

    of

    facilities

    in any a ctivity

    that

    is

    related toyour

    exempt

    purposes (attachitemized

    list)

    10 Total of

    lines

    8 and 9

    11 Net

    gain

    or

    loss

    on

    sale

    of

    capital assets (attach

    schedule

    and see

    instructions)

    12

    Unusual

    grants

    13 Total Revenue

    Add

    lines

    10

    through

    12

    14 Fundraising expenses

    15 Contributions, gifts,

    grants,

    andsimilar amountspaidout

    (attach an itemized list)

    16

    Disbursements

    to or for the

    benefit of members (attach an

    itemizedlist)

    17

    Compensation of officers,

    directors, and

    trustees

    18

    Other salaries

    and

    wages

    19 Interest expense

    20 Occupancy (rent, utilities,etc.i

    21

    Depreciation

    and

    depletion

    22 Professional fees

    23 Any expense not otherwise

    classified, such as program

    services (attach itemized list)

    24 TotalExpenses

    Add lines 14 through 23

    Currenttaxyear

    (a) From

    4b11

    To

    12/31/11

    50,000

    0

    L_

    O

    0

    0

    0

    0

    50,000

    0

    50,000

    0

    0

    50,000

    11,200

    33,800

    0

    0

    0

    0

    0

    0

    5,000

    0

    50,000

    3priortaxyearsor 2 succeeding taxyears

    (b)

    From T /

    12

    To 12/31/12

    200,000

    0

    0

    0

    0

    0

    0

    200,000

    0

    200,000

    0

    0

    200,000

    26,000

    167,000

    0

    0

    0

    0

    0

    0

    7,000

    0

    200,000

    (c) From / / '

    3

    To 12/31/13

    400,000

    0

    0

    0

    0

    0

    0

    400,000

    0

    400,000

    0

    0

    400,000

    52,000

    331,000

    0

    0

    0

    0

    0

    0

    17,000

    0

    400,000

    (d) From

    To

    (e)

    Provide Total for

    (a)

    through(d)

    650,000

    0

    0

    0

    0

    0

    0

    650,000

    0

    650,000

    0

    0

    650,000

    Form 1023

    (Rev.

    6-2006)

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    10/14

    Form 1023 (Rev,8-2006)

    Name

    Building International Bridges, Inc.

    EiN:

    45 1561805

    Page

    10

    Financial Data

    (Continued)

    B, Balance

    Sheet(for

    your

    most recently completed

    tax

    year)

    Assets

    1

    Cash

    .

    . . .

    2 Accounts

    receivable

    net

    3 Inventories

    4 Bonds and notes receivable (attach an itemized list)

    5

    Corporate stocks (attach

    an

    itemized list)

    6

    Loans receivable (attachanitemized list) . .

    7 Other investments (attachanitemized list) . , .

    8 Depreciableanddepletable assets (attachanitemized list) . ,

    9 Land .

    10 Other assets (attach an itemized list)

    11 Total Assets (add lines1through 10) .

    Liabilities

    12

    Accounts payable

    13 Contributions, gifts, grants, etc, payable

    . .

    14

    Mortgages andnotes payable (attachanitemized list)

    . . .

    15

    Other liabilities (attach

    an

    temized list)

    . . . . .

    16 TotalLiabilities(add lines 12 through 15)

    Fund Balances or Net Assets

    17 Total fund balances or net assets

    18 Total

    Liabilities

    and

    Fund Balances

    or Net

    Assets (add

    lines 16 and 17)

    1

    2

    3

    4

    5

    6

    7

    8

    9

    10

    11

    12

    13

    14

    15

    16

    17

    18

    Year

    End: 2011

    (Whole

    dollars)

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    0

    19

    Havethere been

    any

    substantial

    changes in

    your assets

    or

    liabilitiessince

    the end of the

    period [J

    Yes E3 No

    shown above? If"Yes," explain.

    I MJJK1 Public Charity Status

    Part X is designed to classify you as an organization that is either aprivate foundation

    or a

    publiccharity.Public charity status

    is

    a

    more favorable

    tax

    status than private foundation status.

    If you are a

    private foundation, Part

    X is

    designed

    to

    further

    determine whether

    you are aprivate

    operatingfoundation.(Seeinstructions.)

    1a Are you aprivate foundation? if

    "Yes,"

    go toline

    1b. If

    "No," go toline5 andproceedasinstructed. DYes 0 No

    If you areunsure, see the instructions.

    b As a private foundation, section

    508(e)

    requires special provisions in your organizing document in EH

    addition

    to

    those that apply

    to

    all organizations described

    in

    section 501(c)(3).Check

    the box to

    confirmthatyour organizing document meets

    this

    requirement, whether by express provision or by

    relianceon operation of state law. Attach a statement that describes specifically where your

    organizing document meets this requirement, such as a reference to aparticulararticle or section in

    your organizing document or by operation of state law. See the

    instructions,

    includingAppendix B,

    fo rinformation about

    the special

    provisionsthatneed

    to be

    contained

    in

    your organizing document.

    Go

    to line 2.

    Are you a privateoperatingfoundation? To be a private operating foundation you must engage

    directly in the active conduct of charitable,

    religious, educational,

    and similar activities, asopposed

    to

    indirectly carrying

    out

    these activities

    by

    providing grants

    to

    individuals

    or

    other

    organizations,

    If

    "Yes," go to line 3.

    If

    "No," go to the signature section of Part XL

    Have

    you existed for one or more

    years?

    if "Yes," attach financial

    information

    showing that you are a private

    operating

    foundation; go to the

    signature section

    o f Part XLIf"No," continue to line 4.

    DYes

    D

    No

    DYes

    D

    No

    D

    Yes

    D

    No

    Have you attached either (1) an affidavit or opinion of counsel, (including a written affidavit or opinion

    from

    a certifiedpublicaccountant or accounting firm with expertise regarding this tax law

    matter),

    that sets forth facts concerning your operations and support to demonstrate that you are likely to

    satisfy

    therequirementsto beclassifiedas aprivate operating foundation;or (2) astatement

    describing your proposed operations

    as a

    private operating foundation?

    5 If you

    answered

    "No" to line1a , indicate the type ofpublic chanty status you are requestingb ycheckingone of the choicesbelow,

    You

    m ay

    check only

    on e

    box.

    Th e organization is not a private foundation because it is:

    a

    509(a)(1)

    and

    170(b)(1)(A)(i)a

    church

    or a

    convention

    or

    association

    of

    churches. Complete

    and

    attach Schedule

    A. D

    b

    509(a)(tj

    and170(b){1){A)(fi}~a

    school.

    CompfeteandattachScheduleB. D

    c 509(a)(1)and1 70(b)(1)(A)(iii)ahospital,acooperative hospital service organization,or amedical research D

    organization operated in conjunction with ahospital. Completeand attach Schedule C,

    d

    5Q9(a)(3)-anorganizationsupportingeither

    one or

    more organizations

    described inline5a

    through

    c, f, g, or h

    D

    or a publicly supported

    section

    501(c)(4), (5),or(6) organization. Complete and attach

    Schedule

    D.

    Form1023 (Rev. 6-2006}

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    11/14

    Form 1023(Rev,6-2006} Name:

    Building International Bridges, inc.

    EiN:

    45_ 1561805

    Page

    11

    PublicCharity Status

    (Continued)

    e 509(a)(4)-an

    organization organized

    and

    operated exclusively

    for

    testing

    forpublic

    safety. D

    f

    509(a)(1)

    and170(b)(1

    )(A)(iv)a norganization operated

    for the

    benefit

    of a college or

    university that

    is

    owned

    or

    D

    operated by a governmental unit.

    g

    509(a)(1)

    and

    170(b)(1)(A)(vi)anorganizationthatreceives

    a

    substantialpart

    of its

    financial

    support in the

    form

    H

    ofcontributions from

    publicly

    supported organizations, from a governmental unit, or from the

    general

    public.

    h 509(a)(2)anorganization that normally receivesnotmore than one-thirdof itsfinancialsupportfrom gross D

    investment income

    and

    receives more than one-third

    of its

    financial support from contributions, membership

    fees,

    and

    gross receipts from activitiesrelated

    to its

    exempt functions (subject

    to

    certain exceptions).

    i A publicly

    supported organization,

    but

    unsure

    if it is

    described

    in 5g or

    5h.

    The

    organization would

    likethe

    IRS

    to CD

    decidethe

    correct

    status.

    6

    If

    you checked box g, h, or i in question5 above,you must request either an

    advance

    or a

    definitive ruling

    by

    selecting one of the boxesbelow.Refer to theinstructionstodetermine which typeof rulingyou areeiigibieto receive.

    a Requestfor

    Advance

    Ruling:Bychecking this box and signing theconsent,pursuant tosection

    6501

    (c)(4)of H

    the Code you request an advancerulingand agree to extend the statute oflimitationson the assessment of

    excise

    tax

    under section 4940

    of the

    Code.

    The tax

    will apply

    only if you do not

    establish public support status

    at

    the end of the 5-year advance

    ruling

    period. The assessment period will be extended for the 5 advance ruling

    yearsto 8 years, 4 months, and

    15

    days beyond the end of the first year. You have the right to refuse or limit

    the

    extension

    to a mutually

    agreed-upon period

    of

    time

    or issue(s).

    Publication1035,

    Extending the Tax

    Assessment

    Period,

    provides a more detailed explanation of your rights and the consequences of the choices

    yo u

    make. You may obtain Publication 1035 free of charge from the IRS web site atwww.irs.govor bycalling

    tol l - f ree

    1-800-829-3676.

    Signing

    this

    consent will not deprive you of any

    appeal

    rights to which you

    would

    otherwise

    be entitled.

    If

    you decide not to extend the statute of limitations, you are not eiigibie for an advance

    ruling.

    Consent

    Fixing Period

    ofLimitations

    Upon Assessment

    of TaxUnderSection

    4940

    of the

    Internal

    Revenue Code

    For

    Organization

    Stephan

    McCrea

    (Typeorprint nameofsigner)

    Director

    (Type orprint titleorauthorityofsigner)

    (Signature of

    Officer, Director,Trustee,

    or

    other

    authorized official)

    (Date)

    For IRS Us eOnly

    IRS Director, Exempt Organizations

    (Date)

    Request

    for

    DefinitiveRuling:

    Check this

    box if you

    have completed

    one tax

    year

    of atleast8full

    months

    and

    D

    you

    are requesting a definitive

    ruling.

    To confirm yourpublicsupport status, answer line 6b(i) if you checked box

    g in iine 5 above. Answer line 6b(ii) if you checked box h in line 5 above, if you checked box i in line 5 above,

    answer both lines 6b(i) and (ii).

    (i) (a) Enter 2% of line 8, column (e) on Part IX-A.Statement of Revenues and Expenses.

    (b) Attach

    alist

    showing

    the

    name

    and

    amount contributed

    by

    each person, company,

    or

    organization whose D

    gifts totaled more than the 2%amount.If the answer is "None," check this box.

    (ii) (a) For each year amounts are included on lines

    1,

    2, and 9 of Part IX-A. Statement of Revenues and

    Expenses,attach

    alist

    showing

    the

    name

    of and

    amount received from eachdisqualified

    person. Ifthe

    answer

    is"None," check this box, D

    (b) For each year amounts areincludedon iine 9 of Part IX-A.Statement of Revenues and Expenses, attach

    a list showing the name of and amount received from each payer, other than adisqualifiedperson, whose

    payments were more than the larger of (1)1% of iine 10, Part IX-A.Statement of Revenues and

    Expenses,or (2) $5,000.

    If

    the

    answer

    is

    "None," check this box, D

    7 Did you receive any unusual grants during any of the years shown on Part IX-A,Statement of

    Revenues

    and

    Expenses?

    if"Yes/'

    attach

    a

    list

    includingthe

    name

    of the

    contributor,

    the

    date

    and

    amount of the grant, a brief description of the grant, and explain why it is unusual,

    D

    Yes DNo

    Form

    1023 (Rev.6-2006)

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    12/14

    F o r m 1 0 2 3 ( R e v . 6 - 2 0 0 6 ) N a m e : BuildingInternational Bridges,Inc. _

    E

    J N :

    45

    1561805 p

    age

    12

    mm

    ....lM

    s

    g.

    r

    Fee informati^'

    3

    . Z

    . . . . _

    _ ~

    ___________ Z

    ZZ

    Youmust include

    a

    user

    fe e

    payment wi th this

    application, it will not be

    processed wi thout your paid user fee.

    If

    your average

    annual

    gross receipts have exceeded

    or

    wii i exceed $10,000

    annually

    over

    a

    4-yearperiod,

    y ou

    must submit payment

    of

    $750.

    If

    yourgross receipts havenotexceeded or will notexceed$10,000 annually overa4-year period, the required userfee payment

    is $300. See instructions fo r Part Xi, for a definition of gross

    receipts

    over a 4-year

    period.

    Your check or money order must be

    made payable to the United States Treasury. User fees

    ar e

    subject

    to

    change.

    C heck our websi te at

    www. i rs.gov

    an d

    type

    User

    e e in the keyword box, or

    call

    C ustomer Account Services at 1-877-829-5500 for current informat ion,

    1

    Have yourannualgross receipts averaged

    or are

    they e xpected

    to

    average

    not

    more than

    $10,000?

    D

    Yes

    H

    No

    If

    "Yes," check the box on line 2 and enclose a user fee payment of $300 (Subject to change

    see above).

    If

    "No,"

    check

    the

    boxon

    Hne

    3

    and

    encloseauserfeepaymentof$750 (Subjectto change see

    above).

    2 Checkthe

    box

    fyo u

    have

    enciosed

    the

    reduced userfeepayment of $300 (Subject

    to

    change).

    _ D

    3 Checkthe box ifyouhave enclosed

    the user

    feepaymentof$750 (Subject

    to

    change).

    ______________ _

    JZ]

    I declare

    under

    the

    penalties

    of

    perjury

    that I am authorized to

    sign

    this application on

    behalf

    of the

    above organization

    and that I

    have examined this

    application, includingthe accompanying

    schedules

    andattachments,and to the bestof myknowledge it istrue, correct, andcomplete,

    Stephan McCrea

    *

    6f * (Signatureof Officer. Director. Trustee,or other (Typeorprint nameof signe r) (Date)

    authorized

    official) Drector

    (Typeorprint titieorauthorityof

    signer)

    Reminder:

    Send

    the completed

    Form

    1023

    Checklist with your

    fiiled-in-application.

    F o r m

    1023( R e v .

    6 - 2 0 0 6 )

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    13/14

    Building

    InternationalBridges Inc. EIN45-4561805

    Form

    1023

    Attachments

    Form 1023Part I Line 7 - Authorized Representative

    Kathleen M. Moore

    LawOfficesOf Kathleen M.Moore,LLC

    351

    S. Cypress Road, Suite 404B

    Pompano Beach,

    Fl

    33060

    Form 1023PartIV -Narrative DescriptionofActivities

    Building International Bridges, Inc. (the Corporation )

    was

    formed

    to further

    cross-

    cultural communication, within the United States and internationally. The obstacles to

    intercultural

    communications are lack of equipment, lack of education about other cultures and

    lack of information. The Corporation seeks to remove those obstacles by providing equipment,

    training and informationto the

    various organizations

    to

    which

    it

    provides

    funds.

    Oneof the Corporation's goals is to bring the Internet to homes that have no computers

    or

    internet connection.

    By

    doing

    so, the

    Corporation aims

    to

    connect people

    indifferent

    cultures

    (either internationally or within a country), thereby overcoming barriers of language,

    cost,

    distance and technology. In so doing, the Corporation will provide the technology and expertise

    to fill the

    gaps that other organizations

    do not offer.

    These activities support

    the

    Corporation's

    goal to further international linksand building international bridges for learning, research, and

    culturalrespect and exchange.

    As stated elsewhere within this application, the Corporation

    wi l l

    be making donations

    only

    to

    international

    not for profit

    companies

    or

    U.S. 501(c)(3) organizations that support

    furthering cross-cultural communications. These areas presently include (1) greater Fort

    Lauderdale, Florida and (2) West Sussex, England. Over time, additional international and U.S.

    areas will

    be

    added.

    Funds

    generally will not be earmarked except for general operating purposes, unless a

    special fundraising

    or

    matching program

    is

    involved.

    At

    this time, no

    specific

    dates have been determined, although contributions will be made

    ona quarterly basis (at the end of each quarter).

    The bulk of Corporation's time will be spent determining, making, and following up on

    bequests. Periodic site reviews will also occur. Outside of bookkeeping, these items will

    consume

    all of theCorporation'stime.

    The Corporation will be

    funded

    mostly from mailing an d telephone appeals fo r

    donations. Additionally,

    a

    small amount

    of funds

    could

    be

    derived

    by offering

    workshops that

    educate organizations about removing the obstacles to intercultural communications. In

    particular,these workshops will provide training to overcome

    difficulties

    that arise in diverse

    communities

    and thereby promote intercultural communication.

    Each

    organization receiving donations

    from

    the Corporation must be open to periodic site

    visits

    to

    ensure that

    funds are

    used

    effectively and in

    conjunction with their charters.

    The

    Corporation will make donations based upon requests

    for funding

    proposals

    and

    international

    reputation.

    Page 1 of2

  • 8/6/2019 Building International Bridges Application for 501(c)(3) status (successful)

    14/14

    Building International Bridges Inc EIN 45-4561805

    Form

    1023 Attachments

    Form 1023

    PartV - OfficersandDirectors

    3a. Stephan McC rea is a mem ber of the corporation s Board of Directors and Chairperson,

    Secretary

    and

    Treasurer.

    Th e

    duties

    of the

    directors

    and

    officers

    of the

    corporation

    are set

    forth

    in the corporation s bylaws, which are attached hereto. These duties include ensuring the scope

    of the

    corporation s principles

    is

    carried out,

    an d

    monies properly accounted

    fo r

    specific

    resources. Mr.

    McCrea's

    qualifications include knowledge of the international community and

    the need for

    intercultural

    communications, knowledge of501(3)(c) corporations, and consulting

    duties to assist non-profit organizations.

    Hours Worked-

    10

    hours per month

    Bahman Azarm is a member of the corporation s Board of Directors. The duties of the

    directors of the corporation are set

    forth

    in the corporation s bylaws, which are attached

    hereto.

    These duties include ensuring the scope of the corporation s principles is carried out, and monies

    properly accounted for specific resources. Mr.

    Azarm's

    qualifications include knowledge of the

    international

    comm unity

    and the

    need

    fo r

    intercultural communications, knowledge

    of

    501(3)(c)

    corporations, and consulting duties to assist non-profit organizations.

    Hours Worked-

    10

    hours per month

    Jessica Leigh Law son is a member of the co rporation s Board of Directors. The duties of

    the directors of the corporation are set forth in the corporation s bylaws, which are attached

    hereto. These duties include ensuring the scope of the corporation s principles is carried out, and

    monies

    properly accounted for specific resources. Ms.

    Lawson's

    qualifications include

    knowledge

    of the international community and the need fo r intercultural communications,

    knowledge of

    501(3)(c)

    corporations, and consulting duties to assist non-profit organizations.

    Hours Worked- 10 hours

    per

    month

    Form 1023 PartVI - Organizations that Receive Benefits

    from

    You

    Ib .

    Funds will be distributed to Qualified By Experience Education Foundation, LTD.

    ( QBE ),

    Old School House, Church Road, Scaynes Hill, West Sussex, England

    RH17

    7NY,

    which

    operates

    in

    England

    and

    W ales.

    QB E is a not for

    profit company incorporated under

    th e

    Companies

    A ct

    2006

    as a

    private company limited

    by

    guarantee.

    Q BE

    will

    u se

    these

    funds

    fo r

    the operating costs of the school, scholarships and purchase and maintenance of equipm ent to aid

    in

    cross-cultural communications in

    furtherance

    of its charitable purposes.

    Additionally,

    th e

    corporation will

    be

    making donations

    to

    U.S. 501(c)(3) organizations

    that help dev elop intercultural communications, by serving as demonstration training sites .

    Form 1023 Part VIII- Specific Activities

    4a. The Corporation will be

    funded

    mostly

    from

    mailing an d telephone appeals fo r

    donations.

    Form 1023 Part

    IX -

    Contributions, Gifts, Grants

    And

    Similar Items Paid

    Out

    15. No distributions have been made at this time.

    Page 2 o f 2