FORM 1023-EZ for BREATHE GIVES BACK LLC

Field Data
EIN 85-1204570
Case Number EO-2020300-000398
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATHE GIVES BACK LLC
Organization’s Mailing Address 8060 MELROSE AVENUE THIRD FLOOR
City LA
State CA
ZIP 90046
Accounting period End 12
Primary contact name BRAD LAMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD LAMM
PRESIDENT
TAFT AVE
LA CA 90068

Officer/Director/Trustee Two

DEB HUGHES
VICE PRESIDENT
8060 MELROSE AVE
LA CA 90046

Officer/Director/Trustee Three

GREGG LAMM
TREASURER
712 FIRCREST ST
NEWBERG OR 97132

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRAD LAMM
Signature Title PRESIDENT
Signature Date 10/22/2020

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