FORM 1023-EZ for TO BIND THE BROKEN INC

Field Data
EIN 84-4788253
Case Number EO-2020066-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TO BIND THE BROKEN INC
Organization’s Mailing Address 1108 ELMWOOD AVE
City HIGH POINT
State NC
ZIP 27265
Accounting period End 12
Primary contact name JOSHUA STEGENGA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA STEGENGA
DIRECTOR
1108 ELMWOOD AVE
HIGH POINT NC 27265

Officer/Director/Trustee Two

JORDAN RIVES
DIRECTOR
1223 W NORTHWOOD ST
GREENSBORO NC 27408

Officer/Director/Trustee Three

KYLEE CROOK
DIRECTOR
6010 103RD ST
LUBBOCK TX 79424

Officer/Director/Trustee Four

BROOKE STEGENGA
PRESIDENT
1108 ELMWOOD AVE
HIGH POINT NC 27265

Officer/Director/Trustee Five

ALYSE CREED
TREASURER
1242 HORNEY TOWN RD
HIGH POINT NC 27284

Organization’s website WWW.TOBINDTHEBROKEN.COM
Organization’s email JOSH@TOBINDTHEBROKEN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2020
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 JOSHUA STEGENGA
Signature Title DIRECTOR
Signature Date 3/4/2020

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