FORM 1023-EZ for ONE BREAK

Field Data
EIN 81-0888303
Case Number EO-2016020-000074
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ONE BREAK
Organization’s Mailing Address 6351 W MONTROSE AVE NUM 264
City CHICAGO
State IL
ZIP 60634-1563
Accounting period End 12
Primary contact name ELIZA SLEDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZA SLEDGE
PRESIDENT
6351 W MONTROSE AVE NUM 264
CHICAGO IL 60634-1563

Officer/Director/Trustee Two

DEBRA MAYFIELD
FIRST VICE PRESIDENT/SECRETARY
5115 E WAVERLY DRIVE D36
PALM SPRINGS CA 92264-7503

Officer/Director/Trustee Three

SHERRY STROUD
SECOND VICE PRESIDENT
1712 N OAK PARK AVE
CHICAGO IL 60707-4426

Officer/Director/Trustee Four

CASUNDRA ROGERS
TREASURER
323 N PARKSIDE AVE
CHICAGO IL 60644-2253

Officer/Director/Trustee Five

BRENDA WILLIAMS
BOARD MEMBER
5526 S CORNELL AVE GARDEN
CHICAGO IL 60637-1948

Organization’s website WWW.ONEBREAK.ORG
Organization’s email INFO@ONEBREAK.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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
Signature Title
Signature Date

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