FORM 1023-EZ for BREATH OF LIFE FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-1280678 |
| Case Number | EO-2016109-000128 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BREATH OF LIFE FOUNDATION |
| Organization’s Mailing Address | 516 HUDSON LANE |
| City | MONROE |
| State | LA |
| ZIP | 71201 |
| Accounting period End | 12 |
| Primary contact name | LAURIE DANIEL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
LAURIE DANIEL
DIRECTOR
124 LEMONT DRIVE
WEST MONROE LA 71291
Officer/Director/Trustee Two
BILL SAVAGE
BOARD MEMBER
6635 SAVAGE LANE
COLLINGSTON LA 71229
Officer/Director/Trustee Three
JOHN HONEYCUTT
BOARD MEMBER
117 TWIN OAKS
WEST MONROE LA 71291
Officer/Director/Trustee Four
GIRISH SAH
BOARD MEMBER
700 UNIVERSITY AVENUE
MONROE LA 71209
Officer/Director/Trustee Five
BRENDA MCINTYRE
BOARD MEMBER
100 ROSELAWN
MONROE LA 71201
| Organization’s website | NA |
|---|---|
| Organization’s email | YOGA7606@COMCAST.NET |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/18/2016 |
| Organization Incorporation State | LA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | O51 - Youth Community Service Clubs |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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