FORM 1023-EZ for BROKEN PIECES INC
| Field | Data |
|---|---|
| EIN | 82-4987352 |
| Case Number | EO-2018174-000193 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BROKEN PIECES INC |
| Organization’s Mailing Address | 601 17TH AVENUE SOUTH |
| City | SAINT PETERSBURG |
| State | FL |
| ZIP | 33701 |
| Accounting period End | 4 |
| Primary contact name | ASHA KING |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PATRICE THOMAS
PRESIDENT
601 17TH AVENUE SOUTH
SAINT PETERSBURG FL 33701
Officer/Director/Trustee Two
ALEXUS BLACK
VICE PRESIDENT
6185 30TH COURT SOUTH
SAINT PETERSBURG FL 33712
Officer/Director/Trustee Three
BRIDGETTE BLACK
TREASURER
6185 30TH COURT SOUTH
SAINT PETERSBURG FL 33712
Officer/Director/Trustee Four
CAROLYN MURRAY
TREASURER
2022 68TH AVENUE SOUTH
SAINT PETERSBURG FL 33712
Officer/Director/Trustee Five
ISHNIQUE THOMAS
SECRETARY
2415 11TH AVENUE SOUTH
SAINT PETERSBURG FL 33712
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/16/18 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | L41 - Homeless, Temporary Shelter For |
| 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 | 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | PATRICE THOMAS |
| Signature Title | PRESIDENT |
| Signature Date | 6/20/18 |
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