FORM 1023-EZ for FATHERS BROTHERS AND SONS INC

Field Data
EIN 47-2800611
Case Number EO-2015362-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FATHERS BROTHERS AND SONS INC
Organization’s Mailing Address 4549 DESLIN COURT
City TALLAHASSEE
State FL
ZIP 32305
Accounting period End 12
Primary contact name JAWORSKI VANCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DERRICK HAYES
PRESIDENT
6459 HOODED BAY COURT
TALLAHASSEE FL 32303

Officer/Director/Trustee Two

DALLAS WILLIAMS
VICE PRESIDENT
2410 LAKEFAIR DRIVE
TALLAHASSEE FL 32303

Officer/Director/Trustee Three

KEVIN IVORY
TREASURER
11515 N TAZWELL DR
LOUISVILLE KY 40241

Officer/Director/Trustee Four

JAWORSKI VANCE
EXECUTIVE DIRECTOR
9002 GLEN EAGLE WAY
TALLAHASSEE FL 32312

Organization’s website
Organization’s email MRVANCE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2015
Organization Incorporation State FL
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: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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