FORM 1023-EZ for BREAST CONNECT INC

Field Data
EIN 47-4121343
Case Number EO-2015252-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREAST CONNECT INC
Organization’s Mailing Address 1400 KENESAW AVE APT 31G
City KNOVILLE
State TN
ZIP 37919
Accounting period End 12
Primary contact name ALLEN PANNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANET TESTERMAN
SECRETARY TREASURER
423 SCENIC DR
KNOXVILLE TN 37919

Officer/Director/Trustee Two

NINA REINERI
CHAIRMAN
849 GARRISON RIDGE BLVD
KNOXVILLE TN 37922

Officer/Director/Trustee Three

ALLEN PANNELL
VICE CHAIRMAN
1400 KENESAW AVE APT 31G
KNOXVILLE TN 37919

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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
Signature Title
Signature Date

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