FORM 1023-EZ for BROKEN AND RESTORED
| Field | Data |
|---|---|
| EIN | 82-2096189 |
| Case Number | EO-2017229-000288 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BROKEN AND RESTORED |
| Organization’s Mailing Address | 196 VICTORIA LANE |
| City | NEWNAN |
| State | GA |
| ZIP | 30263 |
| Accounting period End | 12 |
| Primary contact name | CHARSEA JONES |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANGELYN TENNIE
CEO
1986 SMOKEY ROAD
NEWNAN GA 30263
Officer/Director/Trustee Two
SHELISA SINKFIELD
BOARD MEMBER
151 PHEASANT RIDGE
NEWNAN GA 30265
Officer/Director/Trustee Three
ROSE JONES
BOARD MEMBER
93 STRONG RD
NEWNAN GA 30263
Officer/Director/Trustee Four
LEQUICHE WATSON
BOARD MEMBER
42 BELMONT PARK DRIVE
NEWNAN GA 30263
Officer/Director/Trustee Five
CHARSEA JONES
PRESIDENT
196 VICTORIA LANE
NEWNAN GA 30263
| Organization’s website | NONE |
|---|---|
| Organization’s email | CHARSEAJONES@YMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/14/2017 |
| Organization Incorporation State | GA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P50 - Personal Social Services |
| 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 | 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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