FORM 1023-EZ for BROOKS THEW MAYBERRY FOUNDATION INC

Field Data
EIN 84-3506945
Case Number EO-2020065-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROOKS THEW MAYBERRY FOUNDATION INC
Organization’s Mailing Address 522 ALEXANDER RD
City MOUNT IDA
State AR
ZIP 71957
Accounting period End 12
Primary contact name EUNICE THEW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EUNICE THEW
DIRECTOR
522 ALEXANDER RD
MOUNT IDA AR 71957

Officer/Director/Trustee Two

LORI HARPER
DIRECTOR
715 HWY 298
STORY AR 71970

Officer/Director/Trustee Three

DONNA WHISENHUNT
DIRECTOR
2383 SOUTH FORK RD
MOUNT IDA AR 71957

Officer/Director/Trustee Four

TILLY DAVIS
DIRECTOR
42 CATCH EM LANE
MOUNT IDA AR 71957

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2019
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 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 EUNICE THEW
Signature Title DIRECTOR
Signature Date 3/3/2020

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