FORM 1023-EZ for THE REPAIRER OF THE BREACH INC

Field Data
EIN 82-2390001
Case Number EO-2019256-000003
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE REPAIRER OF THE BREACH INC
Organization’s Mailing Address 1327 WEST MCFERRAN STREET
City PHILADELPHIA
State PA
ZIP 19140
Accounting period End 12
Primary contact name VERNICE MORRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERNICE MORRIS
FOUNDER BOARD PRESIDENT
1327 WEST MCFERRAN STREET
PHILADELPHIA PA 19140

Officer/Director/Trustee Two

SHYLA THOMAS
BOARD OF DIRECTOR
1327 WEST MCFERRAN STREET
PHILADELPHIA PA 19140

Officer/Director/Trustee Three

B YONNA DUBOSE
BOARD OF DIRECTOR
1327 WEST MCFERRAN STREET
PHILADELPHIA PA 19140

Officer/Director/Trustee Four

TALEAH MOORE
BOARD OF DIRECTOR
5714 CHERRY STREET
PHILADELPHIA PA 19139

Officer/Director/Trustee Five

AUDREY COLES
BOARD OF DIRECTOR
1314 KERBAUGH STREET
PHILADELPHIA PA 19140

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/19
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 VERNICE MORRIS
Signature Title FOUNDER BOARD PRESIDENT
Signature Date 9/9/19

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