FORM 1023-EZ for BROTHERHOOD OF HAMILTON COUNTY

Field Data
EIN 83-2171536
Case Number EO-2019050-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROTHERHOOD OF HAMILTON COUNTY
Organization’s Mailing Address 4102 SW 99TH AVE
City JASPER
State FL
ZIP 32052
Accounting period End 12
Primary contact name FREDDIE PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FREDDIE PERRY SR
PRESIDENT
4102 SW 99TH AVE
JASPER FL 32052

Officer/Director/Trustee Two

LOUIS JOHNSON JR
VP
3667 NW 108TH AVE
JASPER FL 32052

Officer/Director/Trustee Three

WILLIE REID JR
TREA
704 2ND ST SW
JASPER FL 32052

Officer/Director/Trustee Four

RONALD ANDERSON
TREA
512 SW 9TH AVE
JASPER FL 32052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 FREDDIE PERRY SR
Signature Title PRESIDENT
Signature Date 2/15/19

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