FORM 1023-EZ for GENESIS EMBRACES BROKENESS INC

Field Data
EIN 83-3147476
Case Number EO-2019071-000772
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GENESIS EMBRACES BROKENESS INC
Organization’s Mailing Address 141 SHELTON STREET
City BRIDGEPORT
State CT
ZIP 6608
Accounting period End 12
Primary contact name GENESIS PRESSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GENESIS PRESSLEY
EXECUTIVE DIRECTOR
141 SHELTON STREET
BRIDGEPORT CT 6608

Officer/Director/Trustee Two

ABRINA GEYER
PRESIDENT
111 COWLES ST
BRIDGEPORT CT 6607

Officer/Director/Trustee Three

TAMMY BLAKE
VICE PRESIDENT
779 COLORADO AVE
BRIDGEPORT CT 6604

Officer/Director/Trustee Four

SAMARIS ROSE
SECRETARY-TREASURER
67 COTTAGE ST
BRIDGEPORT CT 6607

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/19
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P46 - Family Counseling
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 GENESIS PRESSLEY
Signature Title EXECUTIVE DIRECTOR
Signature Date 3/7/19

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