FORM 1023-EZ for MY BROTHERS KEEPER OF GREATER RICHMOND

Field Data
EIN 46-3907365
Case Number EO-2017068-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY BROTHERS KEEPER OF GREATER RICHMOND
Organization’s Mailing Address 1618 HULL STREET 6
City RICHMOND
State VA
ZIP 23224
Accounting period End 12
Primary contact name STEPHAN HICKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHAN HICKS
PRESIDENT
6713 CARNATION STREET D
RICHMOND VA 23225

Officer/Director/Trustee Two

MONICA HAYNES
VICE PRESIDENT
6713 CARNATION STREET D
RICHMOND VA 23225

Officer/Director/Trustee Three

KAREN FRANKLIN
SECRETARY
2918 IDLEWOOD AVE 3
RICHMOND VA 23221

Officer/Director/Trustee Four

KEVIN FERGUSON
TREASURER
610 WINDOMERE AVE
RICHMOND VA 23227

Officer/Director/Trustee Five

AMANDA HILL
SECRETARY
6834 DAWNFIELD LANE
HENRICO VA 23231

Organization’s website HTTP://WWW.MBKGRVA.ORG
Organization’s email MBKGRVA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/29/2014
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
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 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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