FORM 1023-EZ for BREATHEDEEP

Field Data
EIN 86-2855774
Case Number EO-2021100-000982
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATHEDEEP
Organization’s Mailing Address 28 GREEN CLOVER DR
City HENRIETTA
State NY
ZIP 14467
Accounting period End 12
Primary contact name MELANY SILAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELANY SILAS
PRESIDENT
28 GREEN CLOVER DR
HENRIETTA NY 14467

Officer/Director/Trustee Two

KIMBERLY HUFFMAN
TREASURER
179 CROSSFIELD RD
ROCHESTER NY 14609

Officer/Director/Trustee Three

CARLET CLEARE
VICE PRESIDENT
274 SPRUCE AVE
ROCHESTER NY 14611

Officer/Director/Trustee Four

DOLPHAN MCFADDEN
SECRETARY
259 VISCOUNT DR
ROCHESTER NY 14623

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 MELANY SILAS
Signature Title PRESIDENT
Signature Date 3/30/2021

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