FORM 1023-EZ for BREAKAWAY COMMUNITY DEVELOPMENT

Field Data
EIN 82-2740482
Case Number EO-2020239-000191
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAKAWAY COMMUNITY DEVELOPMENT
Organization’s Mailing Address 5825 W CORCORAN
City CHICAGO
State IL
ZIP 60644
Accounting period End 12
Primary contact name KHALILAH JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KESHA FORREST
PRESIDENT
5825 W CORCORAN
CHICAGO IL 60644-1854

Officer/Director/Trustee Two

VERNITA JOHNSON
VICE PRESIDENT
5825 W CORCORAN
CHICAGO IL 60644-1854

Officer/Director/Trustee Three

AISHA JOHNSON
TREASUER
5825 W CORCORAN
CHICAGO IL 60644-1854

Officer/Director/Trustee Four

KAREN COLEMAN
SECRETARY
5825 W CORCORAN
CHICAGO IL 60644-1854

Officer/Director/Trustee Five

KHALILAH JOHNSON
DIRECTOR
5825 W CORCORAN
CHICAGO IL 60644-1854

Organization’s website WWW.BREAKAWAYCDC.ORG
Organization’s email INFO@BREAKAWAYCDC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KHALILAH JOHNSON
Signature Title DIRECTOR
Signature Date 8/24/2020
EIN 82-2740482
Case Number EO-2018136-000260
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAKAWAY COMMUNITY DEVELOPEMENT
Organization’s Mailing Address 5825 W CORCORAN
City CHICAGO
State IL
ZIP 60644
Accounting period End 12
Primary contact name KHALILAH JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KESHA FORREST
VICE PRESIDENT
5825 W CORCORAN
CHICAGO IL 60644

Officer/Director/Trustee Two

AISHA JOHNSON
TREASURER
5825 W CORCORAN
CHICAGO IL 60644

Officer/Director/Trustee Three

KAREN COLEMAN
SECRETARY
5825 W CORCORAN
CHICAGO IL 60644

Officer/Director/Trustee Four

KHALILAH JOHNSON
PRESIDENT/CEO
5825 W CORCORAN
CHICAGO IL 60644

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 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 KHALILAH JOHNSON
Signature Title PRESIDENT/CEO
Signature Date 5/11/18

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