FORM 1023-EZ for BREAKTHROUGH WITH BLOCKCHAIN INC
| Field | Data |
|---|---|
| EIN | 85-3952924 |
| Case Number | EO-2021273-000287 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BREAKTHROUGH WITH BLOCKCHAIN INC |
| Organization’s Mailing Address | 300 COFFEE BLUFF LN |
| City | HOLLY SPRINGS |
| State | NC |
| ZIP | 27540 |
| Accounting period End | 12 |
| Primary contact name | CHRISTIAN HENDRICKS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHRISTIAN HENDRICKS
DIRECTOR
300 COFFEE BLUFF LN
HOLLY SPRINGS NC 27540
Officer/Director/Trustee Two
LORI NICHOLS
DIRECTOR
300 COFFEE BLUFF LN
HOLLY SPRINGS NC 27540
Officer/Director/Trustee Three
CHRISTINE HENDRICKS
DIRECTOR
10320 SABLEWOOD DR 111
RALEIGH NC 27617
| Organization’s website | WWW.BREAKTHROUGHWITHBLOCKCHAIN.ORG |
|---|---|
| Organization’s email | CHRISTIAN@BREAKTHROUGHWITHBLOCKCHAIN.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/18/2020 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | J99 - Employment, Job Related N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | Yes |
| 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 | No |
| Signature Name | CHRISTIAN HENDRICKS |
| Signature Title | DIRECTOR |
| Signature Date | 9/28/2021 |
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