FORM 1023-EZ for THE BREATH CENTER

Field Data
EIN 83-1290424
Case Number EO-2018232-000293
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BREATH CENTER
Organization’s Mailing Address 612 FERNANDO ST
City OJAI
State CA
ZIP 93023
Accounting period End 12
Primary contact name MICHAEL BRIAN BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL BAKER
PRESIDENT
201 EAST OJAI AVE
OJAI CA 93024

Officer/Director/Trustee Two

STACY BAKER
MANAGER
7748 SAUSALITO AVE
WOODLAND HILLS CA 91304

Officer/Director/Trustee Three

ANGELA SHWAM
TREASURER
612 FERNANDO ST
OJAI HI 93023

Officer/Director/Trustee Four

CHRISTOPHER TAKEMOTO-GENTILE
LEGAL CONSULTANT
46-466 HULUPALA WAY
KANEOHE HI 96744

Officer/Director/Trustee Five

AUDRIANNA JACQUES
SECRETARY
2621 W CASTLE CT
PEORIA IL 61614

Organization’s website
Organization’s email INFO@THEBREATHCENTER.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL BAKER
Signature Title PRESIDENT
Signature Date 8/16/18

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