FORM 1023-EZ for BREAK THE CHAIN KENNEL KRU INC

Field Data
EIN 81-2048716
Case Number EO-2016154-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREAK THE CHAIN KENNEL KRU INC
Organization’s Mailing Address 1 BOXELDER COURT
City GREENSBORO
State NC
ZIP 27405
Accounting period End 12
Primary contact name SYLVIA MAYON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SYLVIA MAYON
PRESIDENT
1 BOXELDER COURT
GREENSBORO NC 27405

Officer/Director/Trustee Two

AMY FROST
TREASURER
4000 ELDERBUSH CIRCLE
GREENSBORO NC 27405

Officer/Director/Trustee Three

ANDREW MAYON
VICE PRESIDENT
1 BOXELDER COURT
GREENSBORO NC 27405

Officer/Director/Trustee Four

FRANCES EHRLICH
SECRETARY
44 MILLPOND LANE
GREENSBORO NC 27455

Officer/Director/Trustee Five

BEVERLY SWAIM
BOARD MEMBER
715 OLD WINSTON ROAD
HIGH POINT NC 27265

Organization’s website WWW.BTCKENNELKRU.ORG
Organization’s email KENNELKRU@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 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
Signature Title
Signature Date

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