FORM 1023-EZ for THE OTIS AND ROSIE BROWN FOUNDATIONINC

Field Data
EIN 46-3378247
Case Number EO-2016291-000395
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE OTIS AND ROSIE BROWN FOUNDATIONINC
Organization’s Mailing Address 7220 FOSSIL RIM TRAIL
City ARLINGTON
State TX
ZIP 76002
Accounting period End 12
Primary contact name RICHARD DUCKETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD DUCKETT
VICE CHAIR
7220 FOSSIL RIM TRAIL
ARLINGTON TX 76002

Officer/Director/Trustee Two

THASUNDA DUCK
CHAIR
7220 FOSSIL RIM TRAIL
ARLINGTON TX 76002

Officer/Director/Trustee Three

ANICK BROWN
SECRETARY
7220 FOSSIL RIM TRAIL
ARLINGTON TX 76002

Officer/Director/Trustee Four

REGINALD BROWN
BOARD MEMBER
7220 FOSSIL RIM TRAIL
ARLINGTON TX 76002

Officer/Director/Trustee Five

OTIS BROWN JR
BOARD MEMBER
7220 FOSSIL RIM TRAIL
ARLINGTON TX 76002

Organization’s website WWW.EXTRAORDINARYIS.ORG
Organization’s email INFO@EXTRAORDINARYIS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/27/2013
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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