FORM 1023-EZ for BROKEN VESSELS RESALE SHOP

Field Data
EIN 82-2249555
Case Number EO-2017226-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROKEN VESSELS RESALE SHOP
Organization’s Mailing Address 363 MC 8124
City PEEL
State AR
ZIP 72668
Accounting period End 12
Primary contact name LINDA FARMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERRY FARMER
PRESIDENT
363 MC 8124
PEEL AR 72668

Officer/Director/Trustee Two

LINDA JO FARMER
TREASURER
363 MC 8124
PEEL AR 72668

Officer/Director/Trustee Three

JACKIE STONER
DIRECTOR
5314 RITCHIE AVE
ENID OK 73707

Officer/Director/Trustee Four

CANDIS CROSS
SECRETARY
363 MC 8124
PEEL AR 72668

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2017
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P29 - Thrift Shops
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 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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