FORM 1023-EZ for BROTHERS KEEPER MC 34 INC

Field Data
EIN 82-0796072
Case Number EO-2019038-000938
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROTHERS KEEPER MC 34 INC
Organization’s Mailing Address 1145 HWY 70
City DE QUEEN
State AR
ZIP 71832
Accounting period End 12
Primary contact name SHANNON TALLANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNON TALLANT
TREASURER
372 LR 55
FOREMAN AR 71836

Officer/Director/Trustee Two

TIMOTHY LITCHFORD
VICE PRESIDENT
124 ROLLING FORK DR
DE QUEEN AR 71832

Officer/Director/Trustee Three

ERIKA PHILLIPS
SECRETARY
2094 SNOWS ARENA RD
GARVIN OK 74736

Officer/Director/Trustee Four

JERRY D LIGON
PRESIDENT
261 STOVER RD
DE QUEEN AR 71832

Organization’s website
Organization’s email STALLANT74@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 SHANNON TALLANT
Signature Title TREASURER
Signature Date 1/25/19

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