FORM 1023-EZ for BREATH OF LIFE CENTER OF HOPE INC

Field Data
EIN 85-1812471
Case Number EO-2020225-000024
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATH OF LIFE CENTER OF HOPE INC
Organization’s Mailing Address 2519 FILLMORE ST
City HOLLYWOOD
State FL
ZIP 33020-4307
Accounting period End 12
Primary contact name CONSTANCE ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CONSTANCE ROSE
PRESIDENT
5220 HUNT MASTER DR APT A
MIDLOTHIAN VA 23112-2715

Officer/Director/Trustee Two

ASSAN ROSE
TREASURER
3505 MONROE ST APT 211
HOLLYWOOD FL 33021-7527

Officer/Director/Trustee Three

DOMINIC MCNEILL
SECRETARY
8810 NE 77 CT 160
TAMARAC FL 33321-2064

Officer/Director/Trustee Four

ARIELLE ROSE
DIRECTOR
1576 UNITED COURT
HENRICO VA 23238-4338

Officer/Director/Trustee Five

ROY WINDOM
DIRECTOR
2519 FILLMORE ST
HOLLYWOOD FL 33020-4307

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/28/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 CONSTANCE ROSE
Signature Title PRESIDENT
Signature Date 8/10/2020

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