FORM 1023-EZ for MY BROTHER FROM ANOTHER MOTHER INC

Field Data
EIN 46-2189226
Case Number EO-2015159-000475
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY BROTHER FROM ANOTHER MOTHER INC
Organization’s Mailing Address 209 LEXINGTON BLVD
City BETHEL
State CT
ZIP 06801-1300
Accounting period End 12
Primary contact name JOYCE SCHRIEBMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOYCE SCHRIEBMAN
CHAIR
209 LEXINGTON BLVD
BETHEL CT 06801-1300

Officer/Director/Trustee Two

YEHEZKEL LANDAU
TREASURER
77 SHERMAN STREET
HARTFORD CT 06105-2260

Officer/Director/Trustee Three

ABIGAIL LEVINE
SECRETARY
350 FRANCISCO ST
SAN FRANCISCO CA 94133

Organization’s website WWW.MYBROTHERFROMANOTHERMOTHER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2012
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X90 - Interfaith Issues
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
Signature Title
Signature Date

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