FORM 1023-EZ for BREATH OF LIFE MINISTRIES OF LAS CRUCES

Field Data
EIN 86-3594687
Case Number EO-2021265-000422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATH OF LIFE MINISTRIES OF LAS CRUCES
Organization’s Mailing Address 925 HESS TER
City LAS CRUCES
State NM
ZIP 88005
Accounting period End 12
Primary contact name GEORGE C MOSCONA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUSTIN ADAMS
TREASURER
925 HESS TER
LAS CRUCES NM 88005

Officer/Director/Trustee Two

SANFORD COON
PRESIDENT
814 OVEJA CT SE
ALBUQUERQUE NM 87123

Officer/Director/Trustee Three

BARBARA CLARKE
DIRECTOR
330 N MELENDRES
LAS CRUCES NM 88005

Officer/Director/Trustee Four

KAMY SHAW
VICE PRESIDENT
314 PHILLIPS DR
LAS CRUCES NM 88001

Officer/Director/Trustee Five

LANOVA SHEETS
SECRETARY
1320 AVENIDA DE MESILLA
LAS CRUCES NM 88005

Organization’s website
Organization’s email GEORGE@GEOMOSCO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2021
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 DUSTIN ADAMS
Signature Title TREASURER
Signature Date 9/20/2021

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