FORM 1023-EZ for BROKEN TIES INC

Field Data
EIN 84-3282722
Case Number EO-2019318-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROKEN TIES INC
Organization’s Mailing Address 1532 51ST ST
City BROOKLYN
State NY
ZIP 11219
Accounting period End 12
Primary contact name TZIVIA WEINFELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TZIVIA WEINFELD
PRESIDENT
1532 51ST ST
BROOKLYN NY 11219

Officer/Director/Trustee Two

HADASSAH WALDMAN
SECRETARY
1373 E3RD ST
BROOKLYN NY 11230

Officer/Director/Trustee Three

MIRIAM BERGMAN
TREASURER
1406 55TH ST
BRROKLYN NY 11219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/19
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 TZIVIA WEINFELD
Signature Title PRESIDENT
Signature Date 11/12/19

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