FORM 1023-EZ for BREAKIN BREAD

Field Data
EIN 82-0724399
Case Number EO-2021120-000072
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAKIN BREAD
Organization’s Mailing Address PO BOX 40213
City MOBILE
State AL
ZIP 36640
Accounting period End 12
Primary contact name GLADYS DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENARD SMITH-DOUGLAS
PRESIDENT
PO BOX 40213
MOBILE AL 36640

Officer/Director/Trustee Two

GLADYS DOUGLAS
TREASURER
6128 SPERRY ROAD STE J4
THEODORE AL 36582

Officer/Director/Trustee Three

REBECCA LAITALA-BROADBENT
SECRETARY
5790 ORCHARD STREET
SATSUMA AL 36572

Organization’s website WWW.BREAKINBREAD.INFO.
Organization’s email BBREAKIN40@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 KENARD SMITH-DOUGLAS
Signature Title PRESIDENT
Signature Date 4/28/2021

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