FORM 1023-EZ for CHARLES H BROWN FOUNDATION

Field Data
EIN 80-0476104
Case Number EO-2016287-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARLES H BROWN FOUNDATION
Organization’s Mailing Address 1004 3RD STREET SW
City SPRINGHILL
State LA
ZIP 71075
Accounting period End 12
Primary contact name JAMES BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES E BROWN
PRESIDENT
12203 ROSEMONT LN
PEARLAND TX 77584

Officer/Director/Trustee Two

B J RODGERS
EXCUTIVE VICE PRESIDENT
444526 ASPEN RIDGE DR
NORTHVILLE MI 48167

Officer/Director/Trustee Three

VERDELL BROOKS
VICE PRESIDENT
400 CALLAHAN
SAN LEANDRO CA 94577

Officer/Director/Trustee Four

VICKIE SHYNE
SECRETARY
924 WILEY RD
SHONGALOO LA 71022

Officer/Director/Trustee Five

ADELL MCCDANIEL
TREASURER
2516 MARTIN LUTHER KING
LOS ANGELES CA 90008

Organization’s website CHBROWNFOUNDATION.ORG
Organization’s email JEBROWN1970@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2012
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
Religious: No
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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