FORM 1023-EZ for CHAIN BREAKERS CHURCH INTERNATIONAL

Field Data
EIN 46-0901921
Case Number EO-2019178-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHAIN BREAKERS CHURCH INTERNATIONAL
Organization’s Mailing Address 120 LANDON WAY
City COVINGTON
State GA
ZIP 30016
Accounting period End 12
Primary contact name ROBERTA CUTWRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERTA CUTWRIGHT
CEO
120 LANDON WAY
COVINGTON GA 30016

Officer/Director/Trustee Two

GERALDINE THOMPSON
CEO
2085 TUDOR CASTLE DRIVE
DECATUR GA 30035

Officer/Director/Trustee Three

TIMOTHY CUTWRIGHT
SECRETARY
120 LANDON WAY
COVINGTON GA 30016

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/19
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 ROBERTA CUTWRIGHT
Signature Title CEO
Signature Date 6/25/19

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