FORM 1023-EZ for SHATTERED BUT NOT BROKEN
| Field | Data |
|---|---|
| EIN | 85-2982663 |
| Case Number | EO-2021018-000078 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SHATTERED BUT NOT BROKEN |
| Organization’s Mailing Address | 23103 GREENWOOD CT |
| City | CARROLLTON |
| State | VA |
| ZIP | 23314-2660 |
| Accounting period End | 3 |
| Primary contact name | KERRY WHITE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KERRY WHITE
PRESIDENT
23103 GREENWOOD CT
CARROLLTON VA 23314-2660
Officer/Director/Trustee Two
LINDA BLUNT-WHITE
VICE PRESIDENT
23103 GREENWOOD CT
CARROLLTON VA 23314-2660
Officer/Director/Trustee Three
AMORISE WHITE
SECRETARY
23103 GREENWOOD CT
CARROLLTON VA 23314-2660
Officer/Director/Trustee Four
DELONTE BLUNT
BOARD MEMBER
2004 OAK AVE
NEWPORT NEWS VA 23607-4839
Officer/Director/Trustee Five
LATASHA SHEFFIELD
TREASURER
3305 WEST WEAVER
HAMPTON VA 23666-3813
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/20/2020 |
| Organization Incorporation State | VA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S50 - Nonprofit Management |
| Organization’s purpose | Charitable: No 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 | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | KERRY WHITE |
| Signature Title | PRESIDENT |
| Signature Date | 11/19/2020 |
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