FORM 1023-EZ for FROM BROCK HANEY WITH LOVE INC

Field Data
EIN 85-0537175
Case Number EO-2020111-000411
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FROM BROCK HANEY WITH LOVE INC
Organization’s Mailing Address 360 NE 45TH COURT
City OAKLAND PARK
State FL
ZIP 33334
Accounting period End 12
Primary contact name KEVIN OWENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN OWENS
PRESIDENT, TREASURER KEVIN
360 NE 45TH COURT
OAKLAND PARK FL 33334

Officer/Director/Trustee Two

ROBERT ANDERSON
VICE PRESIDENT, SECRETARY
360 NE 45TH COURT
OAKLAND PARK FL 33334

Officer/Director/Trustee Three

JIM WALTON
DIRECTOR
360 NE 45TH COURT
OAKLAND PARK FL 33334

Organization’s website LOVE-BROCK.ORG
Organization’s email OWENS9316@BELLSOUTH.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2020
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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 KEVIN OWENS
Signature Title PRESIDENT, TREASURER KEVIN
Signature Date 4/17/2020

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