FORM 1023-EZ for BREATHEEZ FOUNDATION

Field Data
EIN 83-1295831
Case Number EO-2021181-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREATHEEZ FOUNDATION
Organization’s Mailing Address PO BOX 22251
City NEWPORT NEWS
State VA
ZIP 23609
Accounting period End 3
Primary contact name CHERLQUETTE BROWN-FLETCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHERLQUETTE BROWN-FLETCHER
CEO PRESIDENT
855 COLLEEN DRIVE
NEWPORT NEWS VA 23608

Officer/Director/Trustee Two

KAREN WORRELL
VP AND MEDIA OFFICER
126 SEMPLE FARM ROAD 204
HAMPTON VA 23666

Officer/Director/Trustee Three

SHERIKA MORMAN
FINANCIAL OFFICER
4698 NEVADA STREET
HONOLULU HI 96818

Officer/Director/Trustee Four

JEFF KIME
SERGEANT AT ARMS
13313 REGENT PARK WALK
CARROLLTON VA 23314

Officer/Director/Trustee Five

DEREK FLETCHER
OFFICER
855 COLLEEN DRIVE
NEWPORT NEWS VA 23608

Organization’s website BREATHEEZ.LIVE
Organization’s email BREATHEEZ.LIVE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/2018
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 SHERIKA MORMAN
Signature Title FINANCIAL OFFICER
Signature Date 6/28/2021

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