FORM 1023-EZ for BROKEN CRAYONS

Field Data
EIN 32-0512277
Case Number EO-2017009-000494
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROKEN CRAYONS
Organization’s Mailing Address 3144 JOYCE COURT
City GRAPEVINE
State TX
ZIP 76051
Accounting period End 10
Primary contact name CHRIS PENNY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER PENNY
OFFICER
3144 JOYCE COURT
GRAPEVINE TX 76051

Officer/Director/Trustee Two

ROBERT ANDY PECHACEK
EXECUTIVE DIRECTOR
1207 MISSOURI STREET A
HOUSTON TX 77006

Officer/Director/Trustee Three

CARRIE WAGER
DIRECTOR
465 WASHINGTON STREET 6
BROOKLINE TX 02446

Officer/Director/Trustee Four

ANGELA BISHOP
COMPLIANCE DIRECTOR
13615 PRISTINE LAKE LANE
CYPRESS TX 77429

Officer/Director/Trustee Five

TODD HUBER
DIRECTOR
23808 COVENTRY DRIVE
LEONARDTOWN MD 20650

Organization’s website WWW.BROKENCRAYON.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/21/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
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 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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