FORM 1023-EZ for FROM BROKEN2CHOSEN

Field Data
EIN 84-2157482
Case Number EO-2019196-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FROM BROKEN2CHOSEN
Organization’s Mailing Address 7
City WINGATE
State NC
ZIP 28174
Accounting period End 12
Primary contact name KENYATTA MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENYATTA MOORE
FOUNDER/PRESIDENT
PO BOX 7
WINGATE NC 28174

Officer/Director/Trustee Two

THAIS THOMPSON
TREASURER
PO BOX 7
WINGATE NC 28174

Officer/Director/Trustee Three

JESSICA DREHER
CHAIRPERSON
PO BOX 7
WINGATE NC 28174

Officer/Director/Trustee Four

DESIREE HOLLY
SECRETARY
PO BOX 7
WINGATE NC 28174

Organization’s website N/A
Organization’s email FROMBROKEN2CHOSEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/5/17
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
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 KENYATTA MOORE
Signature Title FOUNDER/PRESIDENT
Signature Date 7/12/19

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