FORM 1023-EZ for BREAKING PARKINSONS

Field Data
EIN 46-5426271
Case Number EO-2015138-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREAKING PARKINSONS
Organization’s Mailing Address 4179 WOODEDGE DR
City BELLBROOK
State OH
ZIP 45305
Accounting period End 12
Primary contact name ERIC GAYHEART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC GAYHEART
PRESIDENT/FOUNDER
4179 WOODEDGE DR
BELLBROOK OH 45305

Officer/Director/Trustee Two

KATHI GAYHEART
CO-FOUNDER
4179 WOODEDGE DR
BELLBROOK OH 45305

Officer/Director/Trustee Three

MALIA RHODUS
VICE PRESIDENT/TREASURER
1214 E LOWER SPRINGBORO RD
LEBANON OH 45036

Officer/Director/Trustee Four

BRANDON KENNISON
MARKETING DIRECTOR
8859 WINSTON FARM LANE
DAYTON OH 45458

Organization’s website WWW.FACEBOOK.COM/BREAKINGPARKINSONS
Organization’s email BREAKINGPARKINSONS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/14/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
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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