FORM 1023-EZ for BROKEN DOLLS LIMITED

Field Data
EIN 84-3797211
Case Number EO-2020021-000625
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROKEN DOLLS LIMITED
Organization’s Mailing Address 4295 CATALPA PARK
City ELLENWOOD
State GA
ZIP 30294
Accounting period End 12
Primary contact name TACHIANNA MITCHELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TACHIANNA MITCHELL
CHIEF EXECUTIVE OFICER
4295 CATALPA PARK
ELLENWOOD GA 30294

Officer/Director/Trustee Two

JESSICA DANIEL
CHIEF OPERATING OFFICER
4295 CATALPA PARK
ELLENWOOD GA 30294

Officer/Director/Trustee Three

SHENITA DANIEL
CHAIRPERSON OF THE GOVERNING BODY
5069 WINDSOR FORREST LN
ATLANTA GA 30349

Officer/Director/Trustee Four

PRISCILLA MITCHELL
TREASURER
2109 BROWNS MILL RD
ATLANTA GA 30315

Officer/Director/Trustee Five

ROBERT DANIEL
VOTING MEMBER OF THE GOVERNING BOD
2038 BRIAN WAY
DECATUR GA 30033

Organization’s website
Organization’s email BROKENDOLLS_NPO@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2019
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name TACHIANNA MITCHELL
Signature Title CHIEF EXECUTIVE OFICER
Signature Date 1/17/2020

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