FORM 1023-EZ for REPAIRER OF BROKEN WALLS INC

Field Data
EIN 47-3124052
Case Number EO-2015306-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REPAIRER OF BROKEN WALLS INC
Organization’s Mailing Address 328 BALOGH PLACE
City LONGWOOD
State FL
ZIP 32750
Accounting period End 12
Primary contact name DEANNA THOMAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEANNA THOMAS
PRESIDENT
328 BALOGH PLACE
LONGWOOD FL 32750

Officer/Director/Trustee Two

SHERI HOWARD
SECRETARY
624 SPICE TRADER APT F
ORLANDO FL 32818

Officer/Director/Trustee Three

JEREMIAH GILBERT
TREASURER
407 BASEWOOD LANE
ALTAMONTE SPRINGS FL 32702

Officer/Director/Trustee Four

MONIQUE WOODS
DIRECTOR
10592 MARNE ST
DETROIT MI 48224

Officer/Director/Trustee Five

DOMINIQUE DORSEY
DIRECTOR
18811 HULL ST
HIGHLAND PARK MI 48203

Organization’s website
Organization’s email ROBW5812@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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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