FORM 1023-EZ for BROKEN BURDENS ENRICHMENT PLACE INCORPORATED

Field Data
EIN 82-4285190
Case Number EO-2018036-000401
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROKEN BURDENS ENRICHMENT PLACE INCORPORATED
Organization’s Mailing Address 4838 N 63RD STREET
City MILWAUKEE
State WI
ZIP 53218
Accounting period End 12
Primary contact name SHIRLEEN WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEEN WILLIAMS
PRESIDENT
4838 N 63RD STREET
MILWAUKEE WI 53218

Officer/Director/Trustee Two

JACOB WARD
VICE PRESIDENT
8578 N 63RD STREET
MILWAUKEE WI 53224

Officer/Director/Trustee Three

KATRINA RUTHERFORD
SECRETARY
5265 N 49TH STREET
MILWAUKEE WI 53218

Officer/Director/Trustee Four

KENDALL MATTHEWS
BOARD MEMBER
4974 N 60TH STREET
MILWAUKEE WI 53218

Officer/Director/Trustee Five

JOHNNIE JOHNSON
TREASURE
7850 N 107TH STREET
MILWAUKEE WI 53224

Organization’s website
Organization’s email BROKENBURDENSENRICHMENTPLACE@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/3/18
Organization Incorporation State WI
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: Yes
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 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 SHIRLEEN WILLIAMS
Signature Title PRESIDENT
Signature Date 2/3/18

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