FORM 1023-EZ for BREAST CANCER PORTRAIT PROJECT

Field Data
EIN 84-3061556
Case Number EO-2019261-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAST CANCER PORTRAIT PROJECT
Organization’s Mailing Address 11
City ESCONDIDO
State CA
ZIP 92025-5518
Accounting period End 12
Primary contact name MELISSA PETERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA PETERS
CHIEF EXECUTIVE OFFICER
1133 W 13TH AVE
ESCONDIDO CA 92025-5518

Officer/Director/Trustee Two

DONALD PETERS
SECRETARY
1133 W 13TH AVE
ESCONDIDO CA 92025-5518

Officer/Director/Trustee Three

MICHAEL MALKUSH
CHIEF FINANCIAL OFFICER
890 DEPOT LANE
CUTCHOGUE NY 11935-1222

Organization’s website
Organization’s email MISSYPETERS21@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 MELISSA PETERS
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 9/16/19

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