FORM 1023-EZ for SHATTERED BUT NOT BROKEN MINISTRIES

Field Data
EIN 86-2687720
Case Number EO-2021099-001309
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHATTERED BUT NOT BROKEN MINISTRIES
Organization’s Mailing Address PO BOX 30042
City MESA
State AZ
ZIP 85201
Accounting period End 12
Primary contact name DAWN MAXWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAWN MAXWELL
CHIEF OPERATING OFFICER
P O BOX 30042
MESA AZ 85275

Officer/Director/Trustee Two

MAURICE TAYLOR
PRESIDENT
P O BOX 30042
MESA AZ 85275

Organization’s website shatteredbutnotbrokenministries.com
Organization’s email sbnbministries@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2021
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
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 DAWN MAXWELL
Signature Title CHIEF OPERATING OFFICER
Signature Date 3/19/2021

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