FORM 1023-EZ for BROKEN TOGETHER MINISTRY

Field Data
EIN 81-2407972
Case Number EO-2016215-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROKEN TOGETHER MINISTRY
Organization’s Mailing Address 150 WEST COUNTY ROAD 1075 NORTH
City LIZTON
State IN
ZIP 46149-9202
Accounting period End 4
Primary contact name BRYNN COCHRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY CORATTI
SECRETARY
3433 MARITIME DRIVE
INDIANAPOLIS IN 46214-5037

Officer/Director/Trustee Two

SUZANNE STARNS
CO-PRESIDENT
440 LOCKERBIE LANE
PITTSBORO IN 46167-9633

Officer/Director/Trustee Three

BUCK PIEPER
TRUSTEE
4303 EAST CR 100 SOUTH
AVON IN 46123-4399

Officer/Director/Trustee Four

STEVE COCHRAN
TRUSTEE
150 W CR 1075 N
LIZTON IN 46149-9202

Officer/Director/Trustee Five

BRYNN COCHRAN
PRESIDENT
150 W CR 1075 N
LIZTION IN 46149-9202

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2016
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P31 - Adoption
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 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
Signature Title
Signature Date

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