FORM 1023-EZ for BREATHLESS FOUNDATION INC

Field Data
EIN 84-2679048
Case Number EO-2019227-000214
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATHLESS FOUNDATION INC
Organization’s Mailing Address 4144 LINDELL SUITE 206
City SAINT LOUIS
State MO
ZIP 63110
Accounting period End 12
Primary contact name SHELIA WHITLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELIA WHITLEY
CHIEF OPERATING OFFICER
5942 CLEMENS AVE
SAINT LOUIS MO 63112

Officer/Director/Trustee Two

JEFFREY GILES
TREASURER
14210 ASHBURY MEADOWS DRIVE
FLORISSANT MO 63034

Officer/Director/Trustee Three

SHANNELL RANKIN
CHAIR PERSON AND SECRETARY
11109 TOWERING PINES DR
SAINT LOUIS MO 63136

Officer/Director/Trustee Four

SHANESE BRADFORD
CHAIRPERSON
3637 NORTH MARKET
SAINT LOUIS MO 63113

Officer/Director/Trustee Five

EMMA WILLIAMS
TRUSTEE
1819 BACON STREET
SAINT LOUIS MO 63106

Organization’s website
Organization’s email SLBRADFORD4@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/9/19
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 SHELIA WHITLEY
Signature Title CHIEF OPERATING OFFICER
Signature Date 8/13/19

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