FORM 1023-EZ for LIZ BREAK FREE

Field Data
EIN 85-4239010
Case Number EO-2021062-001319
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIZ BREAK FREE
Organization’s Mailing Address 2214 N CHANCE AVE
City FRESNO
State CA
ZIP 93703-2610
Accounting period End 9
Primary contact name CHRISTOPHER GARCEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER GARCEZ
CHAIRPERSON
2214 N CHANCE AVE
FRESNO CA 93703-2610

Officer/Director/Trustee Two

KATIE PHAPHON
SECRETARY
1155 E BULLARD AVE APT 105
FRESNO CA 93710-5523

Officer/Director/Trustee Three

FERNANDO AYALA
TREASURER
5840 W FIR AVE
FRESNO CA 93722-2804

Officer/Director/Trustee Four

JOSE RODRIGUEZ
BOARD MEMBER
1593 N VALENTINE AVE
FRESNO CA 93722-5748

Officer/Director/Trustee Five

ALETHA VANG
BOARD MEMBER
2418 W VINE AVE
VISALIA CA 93291-2659

Organization’s website
Organization’s email LIZBREAKFREEFRESNO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
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 Yes
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 CHRISTOPHER GARCEZ
Signature Title CHAIRPERSON
Signature Date 1/1/2021

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