FORM 1023-EZ for BREATH TO LIFE MINISTRIES INC

Field Data
EIN 82-5065749
Case Number EO-2018241-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATH TO LIFE MINISTRIES INC
Organization’s Mailing Address 237 BOWLING FARM COURT
City RALEIGH
State NC
ZIP 27603
Accounting period End 12
Primary contact name LESLEY W MONET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLEY MONET
PRESIDENT & TREASURER
237 BOWLING FARM COURT
RALEIGH NC 27603

Officer/Director/Trustee Two

SHARON DOOLEY
DIRECTOR
1263 MAGNOLIA HILL ROAD
GARNER NC 27529

Officer/Director/Trustee Three

SONIA WARD
DIRECTOR
1225 COLD WATER SPRINGS DRIVE
RALEIGH NC 27616

Officer/Director/Trustee Four

BRENDA SHEPARD
SECRETARY
7837 NEW GENERATION LANE
FUQUAY-VARINA NC 28182

Officer/Director/Trustee Five

JOSE MONET
DIRECTOR
237 BOWLING FARM COURT
RALEIGH NC 27603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/18
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R62 - Right to Life
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 Yes
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 LESLEY MONET
Signature Title PRESIDENT & TREASURER
Signature Date 8/27/18

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