FORM 1023-EZ for BREAD OF LIFE MISSIONS

Field Data
EIN 86-3175785
Case Number EO-2021104-000915
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAD OF LIFE MISSIONS
Organization’s Mailing Address 2208 SUMMER HILL AVE
City RICHMOND
State VA
ZIP 23234
Accounting period End 12
Primary contact name SHERMAN ANDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERMAN ANDERSON
DIRECTOR
2208 SUMMER HILL AVE
RICHMOND VA 23234

Officer/Director/Trustee Two

LINDA ANDERSON
SECRETARY
2208 SUMMER HILL AVE
RICHMOND VA 23234

Officer/Director/Trustee Three

TERRACE WHITE
BOARD MEMBER
4732 FAR VIEW COURT
HORIZON TX 79928

Officer/Director/Trustee Four

ANGEL WHITE
BOARD MEMBER
14732 FAR VIEW COURT
HORIZON TX 79928

Officer/Director/Trustee Five

STEPHANIE ELMORE
BOARD MEMBER
3880 WATERSLIDE DRIVE APT 105
ELIZABETH CITY NC 27909

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 Yes
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 Yes
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 SHERMAN ANDERSON
Signature Title DIRECTOR
Signature Date 4/12/2021

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