FORM 1023-EZ for BREAKN GROUND

Field Data
EIN 83-3523364
Case Number EO-2020066-000354
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAKN GROUND
Organization’s Mailing Address 18809 NAUTICAL DRIVE UNIT 105
City CORNELIUS
State NC
ZIP 28031
Accounting period End 12
Primary contact name PORCHEA RAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PORCHEA RAY
DIRECTOR
18809 NAUTICAL DRIVE APT 105
CORNELIUS NC 28031

Officer/Director/Trustee Two

PORSCHER ENOCH
BOARD MEMBER
926 CORVUS CT
CHARLOTTE NC 28216

Officer/Director/Trustee Three

DERRICK CROSBY
OFFICER
10236 APPLE DOVE CT
CHARLOTTE NC 28214

Officer/Director/Trustee Four

MIESHA PACK
HEAD OF TRUSTEES
7717 NETWORKM LANE
CHARLOTTE NC 28262

Officer/Director/Trustee Five

BROOKE HUDSON
BOARD MEMBER
2429 ORLANDO STREET
CHARLOTTE NC 28206

Organization’s website
Organization’s email BREAKNGROUNDCLT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2019
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
Donation of funds Yes
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 PORCHEA RAY
Signature Title DIRECTOR
Signature Date 3/4/2020

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