FORM 1023-EZ for MY BROTHERS KEEPER HOMELESS OUTREACH MINISTRY INC

Field Data
EIN 47-1822027
Case Number EO-2017284-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY BROTHERS KEEPER HOMELESS OUTREACH MINISTRY INC
Organization’s Mailing Address 1757 PARK NORTH BND
City INDIANAPOLIS
State IN
ZIP 46260-5272
Accounting period End 12
Primary contact name PATRICIA MCDONALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICIA MCDONALD
PRESIDENT
8338 GLEN WILLOW LANE
INDIANAPOLIS IN 46278

Officer/Director/Trustee Two

ERIC HORNE
VICE PRESIDENT
4447 BELCHIME DRIVE
INDIANAPOLIS IN 46235

Officer/Director/Trustee Three

BERNA HARRIS
TREASURER
1757 PARK NORTH BEND
INDIANAPOLIS IN 46260

Officer/Director/Trustee Four

LEWIS RHONE
SARGENT AT ARMS
3226 WINDHAM LAKE RD
INDIANAPOLIS IN 46214

Officer/Director/Trustee Five

LORRIANE DODSON-GATER
SECRETARY
7929 DILLION PLACE
INDIANAPOLIS IN 46236

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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