FORM 1023-EZ for THE CASE BREAKERS CORPORATION

Field Data
EIN 86-1896439
Case Number EO-2021207-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE CASE BREAKERS CORPORATION
Organization’s Mailing Address 1659 AMARELLE STREET
City NEWBURY PARK
State CA
ZIP 91320
Accounting period End 12
Primary contact name DAWNA COLBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS COLBERT
CHIEF EXECUTIVE OFFICER
1659 AMARELLE STREET
NEWBURY PARK CA 91320-5972

Officer/Director/Trustee Two

DAWNA COLBERT
CHIEF FINANCIAL OFFICER
1659 AMARELLE STREET
NEWBURY PARK CA 91320-5972

Officer/Director/Trustee Three

THOMAS COLBERT
CHAIRMAN OF THE BOARD
1659 AMARELLE STREET
NEWBURY PARK CA 91320-5972

Officer/Director/Trustee Four

ERIK KLEINSMITH
VICE CHAIR
43573 BESSEMER LANE
SOUTH RIDING VA 20152-3699

Officer/Director/Trustee Five

JENNIFER BUCHOLTZ
BOARD MEMBER
13075 SPRING WAGON ROAD
PEYTON CO 80831-7696

Organization’s website WWW.THECASEBREAKERS.ORG
Organization’s email DCOLBERT@THECASEBREAKERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2021
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
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 Yes
Donation of funds Yes
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 THOMAS COLBERT
Signature Title CHAIRMAN OF THE BOARD
Signature Date 7/22/2021

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