FORM 1023-EZ for BREAKING THE SHACKLES INC

Field Data
EIN 47-4733358
Case Number EO-2015223-000025
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BREAKING THE SHACKLES INC
Organization’s Mailing Address 850 SOARING DRIVE
City MARIETTA
State GA
ZIP 30062
Accounting period End 12
Primary contact name CATHY WADDELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAMERON HARRIS
PRESIDENT
850 SOARING DRIVE
MARIETTA GA 30062

Officer/Director/Trustee Two

BRIAN PEEK
TREASURER
210 CHISWICK CLOSE
ALPHARETTA GA 30022

Officer/Director/Trustee Three

PRESTON BERGER
VP PUBLIC RELATIONS
2570 TRAILING IVY WAY
BUFORD GA 30519

Officer/Director/Trustee Four

BEN MCCOLLUM
VP OPERATIONS
1235 LAKE COLONY DRIVE
MARIETTA GA 30068

Officer/Director/Trustee Five

ELYSE BRAY
VP OUTREACH/SECRETARY
7544 140TH STREET
SEMINOLE FL 33776

Organization’s website WWW.BREAKINGTHESHACKLES.ORG
Organization’s email BREAKINGTHESHACKLESCONCERT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I12 - Fund Raising and/or Fund Distribution
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 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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