FORM 1023-EZ for MY BROTHERS KEEPER SOCIAL OUTREACHMINISTRY

Field Data
EIN 47-1943103
Case Number EO-2015075-000496
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY BROTHERS KEEPER SOCIAL OUTREACHMINISTRY
Organization’s Mailing Address 604 WEST 4TH STREET
City TYLER
State TX
ZIP 75701
Accounting period End 12
Primary contact name SOLOMON RODGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SOLOMON RODGERS
EXECUTIVE DIRECTOR/PRESIDENT
146 CR 3815
BULLARD TX 75757

Officer/Director/Trustee Two

STEVE SKAINS
VICE-PRESIDENT
3420 IBERVILLE DRIVE
TYLER TX 75701

Officer/Director/Trustee Three

DOUG CROW
SECRETARY
12798 STATE HWY 31
BROWNSBORO TX 75756

Officer/Director/Trustee Four

CHERYL PETERSON
TREASURER
16651 SHADYRIDGE DRIVE
TYLER TX 75703

Organization’s website HTTP://WWW.MBKEEPER.ORG
Organization’s email SOLOMON@MBKEEPER.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2014
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
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 Yes
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 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
Signature Title
Signature Date

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