FORM 1023-EZ for INCLUSIVE COMMUNITY FOR BREAST HEALTH
| Field | Data |
|---|---|
| EIN | 86-1791695 |
| Case Number | EO-2021099-001927 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | INCLUSIVE COMMUNITY FOR BREAST HEALTH |
| Organization’s Mailing Address | 11705 BOYETTE ROAD SUITE 424 |
| City | RIVERVIEW |
| State | FL |
| ZIP | 33569 |
| Accounting period End | 9 |
| Primary contact name | DINA PROTO PRESIDENT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DINA PROTO
PRESIDENT
11705 BOYETTE ROAD SUITE 424
RIVERVIEW FL 33569
Officer/Director/Trustee Two
CINDI CREAGER
VICE PRESIDENT
12 CHARLES STREET
NEW YORK NY 10014
Officer/Director/Trustee Three
JUDITH WOODRUFF
SECRETARY
2929 SW MILES STREET
PORTLAND OR 97219
Officer/Director/Trustee Four
ELIZABETH JESER
TRUSTEE
1640 SAINTSBURY DRIVE
LAS VEGAS NV 89144
Officer/Director/Trustee Five
NIK KACY
TRUSTEE
2224 SOUTH HIGHLAND AVENUE
LOS ANGELES CA 90016
| Organization’s website | ICBREASTHEALTH.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/5/2021 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F30 - Mental Health Treatment - Multipurpose and N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | DINA PROTO |
| Signature Title | PRESIDENT |
| Signature Date | 3/23/2021 |
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