FORM 1023-EZ for THE BROKENNESS TO HEALING FOUNDATION

Field Data
EIN 83-1896660
Case Number EO-2018285-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BROKENNESS TO HEALING FOUNDATION
Organization’s Mailing Address 6623 EAST LOVERS LANE APT 272
City DALLAS
State TX
ZIP 75214
Accounting period End 12
Primary contact name ISAIAH DRONE III
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ISAIAH DRONE III
DIRECTOR
6623 EAST LOVERS LANE APT 272
DALLAS TX 75214

Officer/Director/Trustee Two

DELNA BRYAN
SECRETARY
3020 COUNTRY SQUARE APT 1151
CARROLLTON TX 75006

Officer/Director/Trustee Three

JANICE JOHNSON
TREASURER
1410 PUEBLO STREET
DALLAS TX 75212-3955

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/18
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K99 - Food, Agriculture, and Nutrition N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ISAIAH DRONE III
Signature Title DIRECTOR
Signature Date 10/10/18

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