FORM 1023-EZ for BREATH OF LIFE PREGNANCY SERVICES

Field Data
EIN 84-3255922
Case Number EO-2020069-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATH OF LIFE PREGNANCY SERVICES
Organization’s Mailing Address 1233 UPLAND HILLS DR N
City UPLAND
State CA
ZIP 91784
Accounting period End 12
Primary contact name DEANN L LENT CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERYL BELL
CEO
1233 UPLAND HILLS DR N
UPLAND CA 91784

Officer/Director/Trustee Two

KEARYN PRUDHOMME
SECRETARY
1117 W RAINBOW BLVD
BIG BEAR CITY CA 92314

Officer/Director/Trustee Three

SUSAN HERNANDEZ
CFO
231 E BIG BEAR BLVD
BIG BEAR CITY CA 92314

Officer/Director/Trustee Four

DEANN LENT
CPA
4508 GUAVA AVE
SEAL BEACH CA 90740

Organization’s website
Organization’s email BREATHOFLIFEMINISTRIES@MAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: Yes
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 DEANN LENT
Signature Title CPA
Signature Date 3/5/2020

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