FORM 1023-EZ for BREAK THE CHAINS COALITION

Field Data
EIN 83-4479325
Case Number EO-2019277-000658
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAK THE CHAINS COALITION
Organization’s Mailing Address 153 S MAIN ST PO BOX 272
City PORT ALLEGANY
State PW
ZIP 16743
Accounting period End 12
Primary contact name WILLIAM H GUMMO EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM GUMMO
ENROLLED AGENT
PO BOX 56
PORT ALLEGANY PA 16743

Officer/Director/Trustee Two

AMANDA RUDOLPH
MEMBER
32 E RANSOME
PORT ALLEGANY PA 16743

Officer/Director/Trustee Three

LYNN KECK
MEMBER
301 CHESTNUT ST
PORT ALLEGANY PA 16743

Officer/Director/Trustee Four

CHESNEY MULASKI
MEMBER
222 MARSHALL DR
PITTSBURGH PA 15235

Officer/Director/Trustee Five

CHRISTINA AVILEZ
MEMBER
135 NILES HILL RD
COUDERSPORT PA 16915

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 WILLIAM GUMMO
Signature Title ENROLLED AGENT
Signature Date 10/1/19

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