FORM 1023-EZ for BREAKING CHAINS FOUNDATION
| Field | Data |
|---|---|
| EIN | 83-2800196 |
| Case Number | EO-2019030-000930 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BREAKING CHAINS FOUNDATION |
| Organization’s Mailing Address | 16210 NE SAN RAFAEL DR |
| City | PORTLAND |
| State | OR |
| ZIP | 97230-5661 |
| Accounting period End | 12 |
| Primary contact name | BLAKE SHELLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BLAKE SHELLEY
CEO, PRESIDENT
16210 NE SAN RAFAEL DR
PORTLAND OR 97230-5661
Officer/Director/Trustee Two
MARY WICH
SECRETARY, TREASURER
2994 SW 34TH TER
GRESHAM OR 97080-8556
Officer/Director/Trustee Three
RONALD WICH
OFFICER
2994 SW 34TH TER
GRESHAM OR 97080-8556
| Organization’s website | WWW.BREAKINGCHAINSFOUNDATION.ORG |
|---|---|
| Organization’s email | INFO@BREAKINGCHAINSFOUNDATION.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/31/18 |
| Organization Incorporation State | OR |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I43 - Services to Prisoners and Families - Multipurpose |
| 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 | Yes |
| 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 | BLAKE SHELLEY |
| Signature Title | CEO, PRESIDENT |
| Signature Date | 12/28/18 |
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