FORM 1023-EZ for CHILDRENS BREAD

Field Data
EIN 46-5466685
Case Number EO-2015191-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHILDRENS BREAD
Organization’s Mailing Address 356 WATERMILL RD
City LAUREL
State MS
ZIP 39443
Accounting period End 12
Primary contact name DOROTHY PRINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOROTHY PRINE
PRESIDENT
356 WATERMILL RD
LAUREL MS 39443

Officer/Director/Trustee Two

CHARLETTE PRINE
TREASURER
209 MAGNOLIA RD
LAUREL MS 39443

Officer/Director/Trustee Three

JULIE MUSGROVE
VICE-PRESIDENT
327 J P PARKER RD
LAUREL MS 39480

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/2014
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X21 - Protestant
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
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 Yes
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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