FORM 1023-EZ for A THOUSAND BROTHERS

Field Data
EIN 82-3106670
Case Number EO-2018066-000209
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A THOUSAND BROTHERS
Organization’s Mailing Address 617 HIGH STREET BELL MOUNTAIN
City DICKSON CITY
State PA
ZIP 18519
Accounting period End 12
Primary contact name DAVID WILLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID WILLSON
PRESIDENT
617 HIGH STREET BELL MOUNTAIN
DICKSON CITY PA 18519

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/17
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
Disaster relief assistance Yes
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 DAVID WILLSON
Signature Title PRESIDENT
Signature Date 3/5/18

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