FORM 1023-EZ for BROTHERS KEEPER CHAPTER WIDOWS SONSMRA OF OHIO

Field Data
EIN 83-1176080
Case Number EO-2018236-000374
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROTHERS KEEPER CHAPTER WIDOWS SONSMRA OF OHIO
Organization’s Mailing Address 11687 COUNTY ROAD 59
City DEGRAFF
State OH
ZIP 43318-9768
Accounting period End 12
Primary contact name KENT DEARDURFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWAYNE KING
PRESIDENT
7138 COUNTY ROAD 68
DEGRAFF OH 43318

Officer/Director/Trustee Two

JAMES TROUT
VICE PRESIDENT
329 E SANDUSKY AVE APT B
BELLEFONTAINE OH 43311

Officer/Director/Trustee Three

KENT DEARDURFF
SECRETARY
11687 COUNTY ROAD 59
DEGRAFF OH 43318-9768

Officer/Director/Trustee Four

MICHAEL DEW
TREASURER
110 BLAINE AVE
RICHWOOD OH 43344

Officer/Director/Trustee Five

LADOW ROBERT JR
SARGENT AT ARMS
125 HOLLY LN
RUSSELLS POINT OH 43348

Organization’s website
Organization’s email BROTHERSKEEPERMRA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/29/18
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 KENT DEARDURFF
Signature Title SECRETARY
Signature Date 8/22/18

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