FORM 1023-EZ for Broken Wings Ministry Inc

Field Data
EIN 47-3272931
Case Number EO-2015063-000135
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name Broken Wings Ministry Inc
Organization’s Mailing Address PO BOX 621896
City orlando
State FL
ZIP 32862
Accounting period End 12
Primary contact name TAMMY CARVALHO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TAMMY CARVALHO
PRESIDENT
11723 BARLETTA DRIVE
ORLANDO FL 32827

Officer/Director/Trustee Two

NORMAN CARVALHO
VICE PRESIDENT
11723 BARLETTA DRIVE
ORLANDO FL 32827

Officer/Director/Trustee Three

ANNA HERNANDEZ
DIRECTOR
528 YEARLING COVE LOOP
APOPKA FL 32703

Officer/Director/Trustee Four

KATHERINE HAND
DIRECTOR
113 JOSEPH DRIVE LOT 49
RAEFORD NC 28376

Officer/Director/Trustee Five

EVELYN CUNLIFFE
DIRECTOR
707 NORTH HICKORY AVE APT 2B
BEL AIR MD 21014

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2015
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P62 - Victims' Services
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 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
Signature Title
Signature Date

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