FORM 1023-EZ for BREAKTHROUGH OUTREACH PRAYER MINISTRIES

Field Data
EIN 27-4053073
Case Number EO-2018305-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAKTHROUGH OUTREACH PRAYER MINISTRIES
Organization’s Mailing Address 1583 WILD PONY PATH WEST
City SAN BERNARDINO
State CA
ZIP 92407
Accounting period End 12
Primary contact name NORMA MUSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NORMA MUSE
PRESIDENT
1583 WILD PONY PATH WEST
SAN BERNARDINO CA 92407

Officer/Director/Trustee Two

FLENOY RICHARDSON
VICE-PRESIDEN
3804 CLFF HARBOR DRIVE
LAS VEGAS NE 89129

Officer/Director/Trustee Three

MARY HENDERSON
SECRETARY
1202 E 42ND STREE
TACOMA WA 98404

Officer/Director/Trustee Four

KITTY SCOTT
FINANCIAL SECRETARY
1215 MARTIN LUTHER KING WAY
TACOMA WA 98405

Officer/Director/Trustee Five

JESSIE FAIR
TREASURER
1623 PALOMINO FARM WAY
NORTH LAS VEGAS NE 89081

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/09
Organization Incorporation State CA
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 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 NORMA MUSE
Signature Title PRESIDENT
Signature Date 10/30/18

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