FORM 1023-EZ for SHATTERED NEVER BROKEN
| Field | Data |
|---|---|
| EIN | 85-1921172 |
| Case Number | EO-2020210-000870 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHATTERED NEVER BROKEN |
| Organization’s Mailing Address | 750 ATHENS ROAD |
| City | WINTERVILLE |
| State | GA |
| ZIP | 30683-0741 |
| Accounting period End | 12 |
| Primary contact name | ALICIA HARRIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALICIA HARRIS
PRESIDENT/CEO
750 ATHENS ROAD
WINTERVILLE GA 30683
Officer/Director/Trustee Two
LENA MOORE
VICE PRESIDENT
118 WINDINGBROOK TRAIL
WINTERVILLE GA 30683
Officer/Director/Trustee Three
APRIL PITTMAN
TREASURER
3762 WOODS BRIDGE ROAD
COMMERCE GA 30529
Officer/Director/Trustee Four
TAMIKA HUBBARD
SECRETARY
700 FOURTH STREET - APT Q22
ATHENS GA 30601
Officer/Director/Trustee Five
CHARLES CAMPBELL
BOARD MEMBER
432 NORTH BLUFF ROAD
ATHENS GA 30607
| Organization’s website | |
|---|---|
| Organization’s email | ALICIAHARRIS49@YAHOO.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/8/2020 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | 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 | ALICIA HARRIS |
| Signature Title | PRESIDENT/CEO |
| Signature Date | 7/26/2020 |
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