FORM 1023-EZ for REPAIRING THE BREACH INC

Field Data
EIN 83-1795913
Case Number EO-2018249-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REPAIRING THE BREACH INC
Organization’s Mailing Address 9497 READING RD APT 9
City CINCINNATI
State OH
ZIP 45215
Accounting period End 12
Primary contact name DONTRELLE M LOUDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONTRELLE LOUDEN
DIRECTOR
9497 READING RD APT 9
CINCINNATI OH 45215

Officer/Director/Trustee Two

TAMECIA DERRICKSON
DIRECTOR
1979 MISTYHILL DRIVE
CINCINNATI OH 45240

Officer/Director/Trustee Three

GABRIELLE LOUDEN
DIRECTOR
6204 OAKNOLL DRIVE
CINCINNATI OH 40219

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/4/18
Organization Incorporation State OH
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 DONTRELLE LOUDEN
Signature Title DIRECTOR
Signature Date 9/4/18

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