FORM 1023-EZ for BROTHERS KEEPERS MC CHAPTER 32

Field Data
EIN 82-1800579
Case Number EO-2017205-000068
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROTHERS KEEPERS MC CHAPTER 32
Organization’s Mailing Address 251 WHITLOCK ROAD
City CAMPBELLSVILLE
State KY
ZIP 42718
Accounting period End 12
Primary contact name MELISSA BAYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH BRICKEN
PRESIDENT
251 WHITLOCK RD
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Two

MATTHEW PORTER
VICE PRESIDENT
6373 OLD LEBANON RD
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Three

STACEY LOY
SAA
169 OLD GREENSBURG RD
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Four

RICHARD DEWITT
SEC/TREAS
140 DEWITT RD
CAMPBELLSVILLE KY 42718

Officer/Director/Trustee Five

ROCKY EDWARD
ROAD CAPTAIN
2360 E MEADOW CREEK RD
CAMPBELLSVILLE KY 42718

Organization’s website WWW.BROTHERSKEEPERSMC.COM
Organization’s email CFR.KEITH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2017
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N20 - Recreational and Sporting Camps
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
Signature Title
Signature Date

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