FORM 1023-EZ for BROKEN VESSELS MENDED AND WHOLE

Field Data
EIN 85-1748626
Case Number EO-2021097-000608
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROKEN VESSELS MENDED AND WHOLE
Organization’s Mailing Address 11007 PALMS BOULEVARD SUITE 115
City LOS ANGELES
State CA
ZIP 90034
Accounting period End 12
Primary contact name JANIS NELSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANIS NELSON
PRESIDENT
PO BOX 34637
LOS ANGELES CA 90034

Officer/Director/Trustee Two

ROBERT CHAVERS
TREASURER
PO BOX 34637
LOS ANGELES CA 90034

Officer/Director/Trustee Three

GINGER DO
SECRETARY
PO BOX 34637
LOS ANGELES CA 90034

Organization’s website
Organization’s email adiscipleforChrist@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2018
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X80 - Religious Media, Communications 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 JANIS NELSON
Signature Title PRESIDENT
Signature Date 3/13/2021

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