FORM 1023-EZ for BREAKING THE CHAINS OF DOMESTIC VIOLENCE

Field Data
EIN 83-1437226
Case Number EO-2019031-000529
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAKING THE CHAINS OF DOMESTIC VIOLENCE
Organization’s Mailing Address 2650 S FORUM DR APT 10202
City GRAND PRAIRIE
State TX
ZIP 75052-7025
Accounting period End 12
Primary contact name CRYSTAL CARRUTHERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CRYSTAL CARRUTHERS
DIRECTOR
2650 S FORUM DR APT 10202
GRAND PRAIRIE TX 75052-7025

Officer/Director/Trustee Two

MANOA SMITH
DIRECTOR
2650 S FORUM DR APT10202
GRAND PRAIRIE TX 75052-7025

Officer/Director/Trustee Three

DALE RANDLE
DIRECTOR
6415 REDSTONE DR
ARLINGTON TX 76001-5489

Officer/Director/Trustee Four

CHANDRA RANDLE
DIRECTOR
6415 REDSTONE DR
ARLINGTON TX 76001-5489

Officer/Director/Trustee Five

BRITTANY ALLEN
DIRECTOR
10305 TAMMARON TRAIL
FORT WORTH TX 76140-6603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
Organization’s purpose Charitable: Yes
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 Yes
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 CRYSTAL CARRUTHERS
Signature Title DIRECTOR
Signature Date 1/3/19

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