FORM 1023-EZ for BREAD OF LIFE COMMUNITY SERVICES

Field Data
EIN 83-3267110
Case Number EO-2019164-000350
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAD OF LIFE COMMUNITY SERVICES
Organization’s Mailing Address 301 STATE HWY 224
City COMMERCE
State TX
ZIP 75248
Accounting period End 12
Primary contact name LESLEE LAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLEE LAY
PRESIDENT & DIRECTOR
2608 TAYLOR STREET
COMMERCE TX 75428

Officer/Director/Trustee Two

BECKY GLASS
DIRECTOR
77 CR 20175
COMMERCE TX 75428

Officer/Director/Trustee Three

DAVID LAY
DIRECTOR
2608 TAYLOR STREET
COMMERCE TX 75248

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/19
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LESLEE LAY
Signature Title PRESIDENT & DIRECTOR
Signature Date 6/11/19

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