FORM 1023-EZ for BROKEN BLESSINGS MINISTRIES

Field Data
EIN 46-5234985
Case Number EO-2015071-000938
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROKEN BLESSINGS MINISTRIES
Organization’s Mailing Address 501 UNION AVE SE
City GRAND RAPIDS
State MI
ZIP 49503
Accounting period End 12
Primary contact name HENRY SALLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HENRY SALLEY
DIRECTOR
501 UNION AVE SE
GRAND RAPIDS MI 49503

Officer/Director/Trustee Two

JULIE GREVENGOLD
DIRECTOR
18065 HAMMOND BAY
SPRING LAKE MI 49456

Officer/Director/Trustee Three

ROSE COONAN
DIRECTOR
767 KOSNOELGE DR NE
COMSTOCK PARK MI 49321

Officer/Director/Trustee Four

CAROLYN LUCAS
DIRECTOR
2560 RAYMOND AVE SE
GRAND RAPIDS MI 49507

Officer/Director/Trustee Five

BRENDA SCHUYLER
DIRECTOR
18 HOME ST SE
GRAND RAPIDS MI 49507

Organization’s website WWW.BROKENBLESSINGS.ORG
Organization’s email FRONTDESK@BROKENBLESSINGS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/19/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P72 - Half-Way House (Short-Term Residential Care)
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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