FORM 1023-EZ for BREAKTHETIDE

Field Data
EIN 85-1467929
Case Number EO-2020178-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAKTHETIDE
Organization’s Mailing Address 2744 MILLERS WAY DRIVE
City ELLICOTT CITY
State MD
ZIP 21043-1959
Accounting period End 6
Primary contact name SARAH AHMAD ABEDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH AHMAD ABEDIN
CEO
2744 MILLERS WAY DRIVE
ELLICOTT CITY MD 21043

Officer/Director/Trustee Two

ESTHER PUJOL RODRIGUEZ
CFO
2018 DEXTER DRIVE
FALLS CHURCH VA 22043

Officer/Director/Trustee Three

ZEREEN ALI
DIRECTOR
555 THORNRIDGE DRIVE
ROCHESTER HILLS MI 48307

Officer/Director/Trustee Four

SPRING GEORGE
DIRECTOR
12702 CHILTON CIRCLE
SILVER SPRING MD 20904

Officer/Director/Trustee Five

SAMINA JAHANGIR
DIRECTOR
6104 TRACKLESS SEA COURT
CLARKSVILLE MD 21029

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/16/2020
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - 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 No
Donation of funds No
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 SARAH AHMAD ABEDIN
Signature Title CEO
Signature Date 6/24/2020

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