FORM 1023-EZ for LIVING BRAVE THROUGH BREAST CANCER

Field Data
EIN 82-2789078
Case Number EO-2019035-000142
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIVING BRAVE THROUGH BREAST CANCER
Organization’s Mailing Address 16051 PENNSYLVANIA ST
City SOUTHFIELD
State MI
ZIP 48075-6302
Accounting period End 12
Primary contact name ZELL RANDLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ORZELLA RANDLE
CHIEF EXECUTIVE OFFICER
16051 PENNSYLVANIA ST
SOUTHFIELD MI 48075-6302

Officer/Director/Trustee Two

AVIS RANDLE
CHIEF OPERATING OFFICER
16051 PENNSYLVANIA ST
SOUTHFIELD MI 48075-6302

Officer/Director/Trustee Three

ROXANNE BENTON
CHIEF FINANCIAL OFFICER
141 ROSE BRIER DRIVE
ROCHESTER HILLS MI 48309-1122

Officer/Director/Trustee Four

AARON MALLORY
CHIEF ADVISORY OFFICER
10628 SOUTH KING DRIVE
CHICAGO IL 60628-2847

Officer/Director/Trustee Five

KEIVA BLAND
CHIEF MEDICAL DIRECTOR
25475 STRAWBERRY LANE
SOUTHFIELD MI 48033-2754

Organization’s website HTTPS://WWW.LIVINGBRAVETHROUGHBREASTCANCER.ORG
Organization’s email INFO@LIVINGBRAVETHROUGHBREASTCANCER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 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 ORZELLA RANDLE
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 1/13/19

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