FORM 1023-EZ for BROTHERS KEEPERS MC 20

Field Data
EIN 82-2749887
Case Number EO-2018317-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROTHERS KEEPERS MC 20
Organization’s Mailing Address PO BOX 174
City TROY
State TX
ZIP 76579
Accounting period End 12
Primary contact name DAIRA HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BENJAMIN HERNANDEZ
PRESIDENT
305 CHRISLYN DR
TROY TX 76579

Officer/Director/Trustee Two

DANIEL ESCAMILLA
VICE PRESIDENT
825 COUNTY RD 269
OGLESBY TX 76571

Officer/Director/Trustee Three

JESSICA ESCAMILLA
TREASURE
825 COUNTY RD 269
OGLESBY TX 76571

Officer/Director/Trustee Four

DAIRA HERNANDEZ
SECRETARY
305 CHRISLYN DR
TROY TX 76579

Officer/Director/Trustee Five

CLINT SCOTT
MEMBER
10316 MARIGOLD RD
WACO TX 76708

Organization’s website WWW.BROTHERSKEEPERSMC.COM
Organization’s email BROTHERSKEEPERS20@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/17
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 DAIRA HERNANDEZ
Signature Title SECRETARY
Signature Date 11/9/18

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