FORM 1023-EZ for BOOKER T BROWN FOUNDATION

Field Data
EIN 83-2458469
Case Number EO-2019121-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BOOKER T BROWN FOUNDATION
Organization’s Mailing Address 26321 OLANCHE ST
City MOJAVE
State CA
ZIP 93501
Accounting period End 12
Primary contact name JAMES BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACQUELINE MAYFIELD- BROWN
PRESIDENT
26321 OLANCHE ST
MOJAVE CA 93501

Officer/Director/Trustee Two

JAMES BROWN
TREASURER
3918 BRANCH STREET
SACRAMENTO CA 95838

Officer/Director/Trustee Three

BOOKER BROWN
CHAIRPERSON
26321 OLANCHE ST
MOJAVE CA 93501

Officer/Director/Trustee Four

BOBBY WASHINGTON
DIRECTOR
26321 OLANCHE ST
MOJAVE CA 93501

Officer/Director/Trustee Five

NEHEMIAH BANKS
TRUSTEE
2221 EAST SUSSEX WAY
FRESNO CA 93650

Organization’s website
Organization’s email TRAILBLAZER219@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 Yes
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 JACQUELINE MAYFIELD- BROWN
Signature Title PRESIDENT
Signature Date 4/29/19

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