FORM 1023-EZ for BREAKING BARRIERS YOGA INC

Field Data
EIN 84-2018245
Case Number EO-2019210-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAKING BARRIERS YOGA INC
Organization’s Mailing Address 765 HARRY L DRIVE
City JOHNSON CITY
State NY
ZIP 13850
Accounting period End 6
Primary contact name LINDA SAMBURSKY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LINDA SAMBURSKY
PRESIDENT
29 MOUNTAINBROOK DRIVE
VESTAL NY 13850

Officer/Director/Trustee Two

ERIN BRADY
VICE PRESIDENT
21 EDGEBROOK RD
BINGHAMTON NY 13903

Officer/Director/Trustee Three

JENNIFER KING
SECRETARY
12 WHITING WAY
CONKLIN NY 13748

Officer/Director/Trustee Four

KAREN STELMAK
TREASURER
1005 OLD VESTAL ROAD
VESTAL NY 13850

Officer/Director/Trustee Five

RONALD SAMBURSKY
OFFICER
29 MOUNTAINBROOK DR
VESTAL NY 13850

Organization’s website WWW.BREAKINGBARRIERSYOGA.ORG
Organization’s email LINDASAMBURSKY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 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 LINDA SAMBURSKY
Signature Title PRESIDENT
Signature Date 7/25/19

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