FORM 1023-EZ for THE KEEPERS OF MY BROTHER AND SISTER LIFE SKILLS TRAINING CENTER

Field Data
EIN 47-1732103
Case Number EO-2014340-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE KEEPERS OF MY BROTHER AND SISTER LIFE SKILLS TRAINING CENTER
Organization’s Mailing Address PO BOX 3651
City LUBBOCK
State TX
ZIP 79452
Accounting period End 12
Primary contact name TYRONE MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LA CARL RICHARDSON
FOUNDER
6210
LUBBOCK TX 79403

Officer/Director/Trustee Two

TYRONE MOORE
CHAIRMAN
1110 77TH STREET
LUBBOCK TX 79423

Officer/Director/Trustee Three

ALBERT OLIVER
TREASURER
3705 33RD STREET
LUBBOCK TX 79410

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/30/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
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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