FORM 1023-EZ for BREATH OF HOPE & LIFE INC

Field Data
EIN 83-3144973
Case Number EO-2019045-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATH OF HOPE & LIFE INC
Organization’s Mailing Address 58-64 78TH AVE APT 1
City RIDGEWOOD
State NY
ZIP 11385
Accounting period End 12
Primary contact name ROLFFI GONZALEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROLFFI GONZALEZ
EXECUTIVE DIRECTOR
58-64 78TH AVE APT1
RIDGEWOOD NY 11385

Officer/Director/Trustee Two

BERCA GOMEZ
PRESIDENT
8509 88TH AVE APT1
JAMAICA NY 11421

Officer/Director/Trustee Three

WILMER DE LA CRUZ
VICE PRESIDENT
58-64 78TH AVE APT 3
RIDGEWOOD NY 11385

Officer/Director/Trustee Four

RUDYS CARABALLO
SECRETARY/TREASURER
4206 CHAIN FERM COURT
SAINT CLOUD FL 34772

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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 ROLFFI GONZALEZ
Signature Title EXECUTIVE DIRECTOR
Signature Date 2/12/19

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