FORM 1023-EZ for BREAK THE CYCLE OF HEALTH DISPARITIES INC
| Field | Data |
|---|---|
| EIN | 82-1909009 |
| Case Number | EO-2021203-000311 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BREAK THE CYCLE OF HEALTH DISPARITIES INC |
| Organization’s Mailing Address | 750 HAMMOND DRIVE BUILDING 1 |
| City | ATLANTA |
| State | GA |
| ZIP | 30328 |
| Accounting period End | 12 |
| Primary contact name | ISADORE LESLIE RUBIN MD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ISADORE LESLIE RUBIN
DIRECTOR
750 HAMMOND DRIVE BLD 1 STE 100
ATLANTA GA 30328
| Organization’s website | WWW.BREAKTHECYCLEPROGRAM.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/7/2017 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B05 - Research Institutes and/or Public Policy Analysis |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | ISADORE LESLIE RUBIN |
| Signature Title | DIRECTOR |
| Signature Date | 7/20/2021 |
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