FORM 1023-EZ for BREAK THE CYCLE OHIO INC

Field Data
EIN 82-4378609
Case Number EO-2018045-000178
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAK THE CYCLE OHIO INC
Organization’s Mailing Address 492 SOUTH HIGH STREET
City COLUMBUS
State OH
ZIP 43215
Accounting period End 12
Primary contact name JEFFREY T STAVROFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY JOHNS
DIRECTOR
492 SOUTH HIGH STREET
COLUMBUS OH 43215

Officer/Director/Trustee Two

YASMINE MAKRIDIS
DIRECTOR
492 SOUTH HIGH STREET
COLUMBUS OH 43215

Officer/Director/Trustee Three

JEFFREY STAVROFF
DIRECTOR
492 SOUTH HIGH STREET
COLUMBUS OH 43215

Organization’s website
Organization’s email BREAKTHECYCLEOHIO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I80 - Legal Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 JEFFREY STAVROFF
Signature Title DIRECTOR
Signature Date 2/12/18

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