FORM 1023-EZ for BREATHE BRAVELY INC

Field Data
EIN 47-5334258
Case Number EO-2015292-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREATHE BRAVELY INC
Organization’s Mailing Address 305 W 29TH ST
City SIOUX FALLS
State SD
ZIP 57105
Accounting period End 12
Primary contact name ASHLEY BALLOU-BONNEMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ASHLEY BALLOU-BONNEMA
EXECUTIVE DIRECTOR
305 W 29TH ST
SIOUX FALLS SD 57105

Officer/Director/Trustee Two

JACLYN ABERSON
DIRECTOR PRESIDENT
716 E PARK DR
SIOUX FALLS SD 57105

Officer/Director/Trustee Three

CHRISTIE ABERSON
DIRECTOR TREASURER
4001 S THUNDERBIRD TRL
SIOUX FALLS SD 57103

Officer/Director/Trustee Four

ROBERT FITZSIMMONS
DIRECTOR VICE PRESIDENT
1011 S HAWTHORNE AVE
SIOUX FALLS SD 57105

Officer/Director/Trustee Five

LUKE TATGE
DIRECTOR SECRETARY
101 W 26TH ST
SIOUX FALLS SD 57105

Organization’s website WWW.BREATHEBRAVELY.ORG
Organization’s email BREATHE.BRAVELY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2015
Organization Incorporation State SD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
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 No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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