FORM 1023-EZ for BROTHERS LOVE OFFERING INC

Field Data
EIN 47-5418982
Case Number EO-2016014-000347
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROTHERS LOVE OFFERING INC
Organization’s Mailing Address 1160 OLD MOORE ROAD
City SELMA
State NC
ZIP 27576
Accounting period End 12
Primary contact name JERROD ITTENBACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERROD ITTENBACH
PRESIDENT
1160 OLD MOORE ROAD
SELMA NC 27576

Officer/Director/Trustee Two

SHAWN SIMS
TREASURER
138 MARIANNA PLACE
GARNER NC 27529

Officer/Director/Trustee Three

WASEEM KUNBARGI
DIRECTOR
4506 SIR JOHNS LANE
VIRGINIA BEACH NC 23455

Officer/Director/Trustee Four

KATHRYN PERKINSON-RHINEHARDT
DIRECTOR
412 WOODCHASE GREEN DRIVE
FUQUAY VARINA NC 27526

Officer/Director/Trustee Five

CHRISTIAN WATKINS
DIRECTOR
125 KATELYN COURT
MIDDLESEX NC 27557

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2015
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
One Third Support Gifts No
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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