FORM 1023-EZ for REPAIRER OF THE BREACH INTERNATIONAL MINISTRIES

Field Data
EIN 82-2291161
Case Number EO-2018253-000100
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REPAIRER OF THE BREACH INTERNATIONAL MINISTRIES
Organization’s Mailing Address 434 BRANCH FOREST WAY
City STOCKBRIDGE
State GA
ZIP 30281
Accounting period End 12
Primary contact name SHANTEL J CALLOWAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANTEL CALLOWAY
DIRECTOR
434 BRANCH FOREST WAY
STOCKBRIDGE GA 30281

Officer/Director/Trustee Two

RENA WILSON SPENCE
TRUSTEE
5810 WESTOWER DRIVE D
RICHMOND VA 23225

Officer/Director/Trustee Three

JEFFERY MARSHALL
TRUSTEE
7534 RICE LANE
DALLAS TX 75241

Officer/Director/Trustee Four

ASHLEY BRYANT
ADVISOR
353 N REDLAND ROAD
FLORIDA CITY FL 33034

Officer/Director/Trustee Five

WILLIAM CALLOWAY
ADVISOR
434 BRANCH FOREST WAY
STOCKBRIDGE GA 30281

Organization’s website WWW.REPAIREROFTHEBREACH.ORG
Organization’s email REPAIREROFTHEBREACH03@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/12
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q01 - Alliance/Advocacy Organizations
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 SHANTEL CALLOWAY
Signature Title DIRECTOR
Signature Date 9/6/18

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