FORM 1023-EZ for COLORS BROKEN INC

Field Data
EIN 85-2842421
Case Number EO-2020248-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLORS BROKEN INC
Organization’s Mailing Address 2422 DUNWOODY XING APT H
City DUNWOODY
State GA
ZIP 30338
Accounting period End 12
Primary contact name ANDRIKA MERRITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRIKA MERRITT
EXECUTIVE DIRECTOR
2422 DUNWOODY XING APT H
DUNWOODY GA 30338

Officer/Director/Trustee Two

LAMISHA WILLIAMS
BOARD MEMBER
163 MAYWEATHER DRIVE
BETHLEHEM GA 30620

Officer/Director/Trustee Three

EDGAR BATEMAN
BOARD MEMBER
1232 POTOMAC ROAD
DUNWOODY GA 30338

Officer/Director/Trustee Four

LESTRA BRADHAM
BOARD MEMBER
1002 SALISBURY TRAIL
RIVERDALE GA 30296

Organization’s website
Organization’s email ANDRIKATMERRITT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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 ANDRIKA MERRITT
Signature Title EXECUTIVE DIRECTOR
Signature Date 9/2/2020

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