FORM 1023-EZ for BROKEN TO LIFE
| Field | Data |
|---|---|
| EIN | 86-3893905 |
| Case Number | EO-2021146-000258 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BROKEN TO LIFE |
| Organization’s Mailing Address | 909 BELTON STREET |
| City | MONROE |
| State | NC |
| ZIP | 28110 |
| Accounting period End | 3 |
| Primary contact name | RHONDA CROWDER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
RHONDA CROWDER
DIRECTOR
909 BELTON STREET
MONROE NC 28110
Officer/Director/Trustee Two
KAILA CROWDER
BOARD MEMBER
909 BELTON STREET
MONROE NC 28110
Officer/Director/Trustee Three
LATISHA RICHARDSON
BOARD MEMBER
3111 ALDER WAY UNIT D
GREENSBORO NC 27407
Officer/Director/Trustee Four
KIARA BELL
BOARD MEMBER
4055 LONG ARROW DRIVE
CONCORD NC 28025
| Organization’s website | |
|---|---|
| Organization’s email | BROKEN2LIFEMINISTRIES@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/14/2021 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S20 - Community, Neighborhood Development, Improvement (General) |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | RHONDA CROWDER |
| Signature Title | DIRECTOR |
| Signature Date | 5/24/2021 |
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