FORM 1023-EZ for BE UNBREAKABLE INC

Field Data
EIN 82-4291359
Case Number EO-2018043-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BE UNBREAKABLE INC
Organization’s Mailing Address 13081 38TH AVENUE
City CHIPPEWA FALLS
State WI
ZIP 54729
Accounting period End 12
Primary contact name JAMIE LOCKWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUSTIN WOLF
ASSOCIATE DIRECTOR
13081 38TH AVENUE
CHIPPEWA FALLS WI 54729

Officer/Director/Trustee Two

SKYLER VAN DE WEERD
ASSOCIATE DIRECTOR
121 S LAKEWOOD GARDENS LANE
MADISON WI 54703

Officer/Director/Trustee Three

JAMIE LOCKWOOD
DIRECTOR
13081 38TH AVENUE
CHIPPEWA WI 54729

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 JAMIE LOCKWOOD
Signature Title DIRECTOR
Signature Date 2/8/18

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