FORM 1023-EZ for HOUSE OF BREAD INC

Field Data
EIN 46-3644596
Case Number EO-2015135-000094
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOUSE OF BREAD INC
Organization’s Mailing Address 1120 NORTH 19TH STREET
City KANSAS CITY
State KS
ZIP 66102
Accounting period End 12
Primary contact name GREG MCRAY EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BELEN VILLESCAS
PRESIDENT TREASURER
1120 NORTH 19TH STREET
KANSAS CITY KS 66102

Officer/Director/Trustee Two

ANGELICA ACOSTA
SECRETARY
4119 MISSION RD
KANSAS CITY KS 66103

Officer/Director/Trustee Three

ELEAZAR SANCHEZ
DIRECTOR
1110 W VIRGINIA LANE APT 5
OLATHE KS 66061

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2013
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations 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 No
Conducting Activities Outside of United States Yes
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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