FORM 1023-EZ for BREAK THE PATTERN INC
| Field | Data |
|---|---|
| EIN | 46-3379179 |
| Case Number | EO-2019266-000213 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BREAK THE PATTERN INC |
| Organization’s Mailing Address | 4824 MAGNOLIA PRESERVE DRIVE |
| City | WINTER HAVEN |
| State | FL |
| ZIP | 33880-5024 |
| Accounting period End | 12 |
| Primary contact name | PHITO MIRTIL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PHITO MIRTIL
PRESIDENT
4824 MAGNOLIA PRESERVE DRIVE
WINTER HAVEN FL 33880-5024
Officer/Director/Trustee Two
JEAN REBECCA
VICE PRESIDENT
120 SPENDLE WAY
GOOSE CREEK SC 29445-3633
Officer/Director/Trustee Three
GREG BURKE
BOARD MEMBER
6319 SUMMERSKY LANE
GREENACRES FL 33463-3816
Officer/Director/Trustee Four
ISRAEL MIRTIL
BOARD MEMBER
4824 MAGNOLIA PRESERVE DRIVE
WINTER HAVEN FL 33880-5024
Officer/Director/Trustee Five
ROBBY CLARK
TREASURER
PO BOX 91582
LAKELAND FL 33804
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/4/13 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O50 - Youth Development Programs, Other |
| 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 | 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 | PHITO MIRTIL |
| Signature Title | PRESIDENT |
| Signature Date | 9/19/19 |
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