FORM 1023-EZ for BREAK THE SILENCE INC
| Field | Data |
|---|---|
| EIN | 84-3100049 |
| Case Number | EO-2020237-000524 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BREAK THE SILENCE INC |
| Organization’s Mailing Address | 631 W KIOWA AVENUE |
| City | FORT MORGAN |
| State | CO |
| ZIP | 80701 |
| Accounting period End | 12 |
| Primary contact name | KELLY PARIS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KELLY PARIS
DIRECTOR
631 W KIOWA AVENUE
FORT MORGAN CO 80701
Officer/Director/Trustee Two
TYLER HOLT
PRESIDENT
15160 HIGHWAY 144 LOT 16
FORT MORGAN CO 80701
Officer/Director/Trustee Three
CHRISSY ROBERTS
SECRETARY
631 W KIOWA AVENUE
FORT MORGAN CO 80701
Officer/Director/Trustee Four
JASON CRISPIN
TREASURER
803 KAREN STREET
FORT MORGAN CO 80701
| Organization’s website | |
|---|---|
| Organization’s email | BTSILENCE2019@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/17/2019 |
| Organization Incorporation State | CO |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention 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 | 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 | KELLY PARIS |
| Signature Title | DIRECTOR |
| Signature Date | 8/21/2020 |
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