FORM 1023-EZ for REBUILDING BROKEN LIVES
| Field | Data |
|---|---|
| EIN | 81-0994754 |
| Case Number | EO-2021146-000251 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | REBUILDING BROKEN LIVES |
| Organization’s Mailing Address | PO BOX 10101 |
| City | GOLDSBORO |
| State | NC |
| ZIP | 27532 |
| Accounting period End | 6 |
| Primary contact name | ASHLEY KORNEGAY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ASHLEY KORNEGAY
PRESIDENT
214 WINDSOR DRIVE
GOLDSBORO NC 27534
Officer/Director/Trustee Two
ANTIONETTE BROWN
SECRETARY
1314 ROBIN DRIVE
GOLDSBORO NC 27534
Officer/Director/Trustee Three
NICOLE BASS
TREASURER
711 WARD BLVD
WILSON NC 27893
| Organization’s website | |
|---|---|
| Organization’s email | RBLIVES2016@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/10/2016 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P50 - Personal Social Services |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes Scientific: No Literary: Yes 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 | 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 | ASHLEY KORNEGAY |
| Signature Title | PRESIDENT |
| Signature Date | 5/24/2021 |
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