FORM 1023-EZ for BROTHER OF THE SHIELDS INC

Field Data
EIN 82-4129918
Case Number EO-2018236-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROTHER OF THE SHIELDS INC
Organization’s Mailing Address 1403 FOOTHILLS VILLAGE DR
City HENDERSON
State NV
ZIP 89012
Accounting period End 12
Primary contact name GREG MCRAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HARP
PRESIDENT/TREASURER/DIRECTOR
1403 FOOTHILLS VILLAGE DR
HENDERSON NV 89012

Officer/Director/Trustee Two

JAMES JACKSON
SECRETARY/DIRECTOR
1403 FOOTHILLS VILLAGE DR
HENDERSON NV 89012

Officer/Director/Trustee Three

MARJORIE FROGOSO
DIRECTOR
8556 CADDY CORNER ST
LAS VEGAS NV 89139

Officer/Director/Trustee Four

TIFFANY STOKES
DIRECTOR
1091 MOONLIGHT OASIS LANE APT 2
HENDERSON NV 89002

Officer/Director/Trustee Five

DANE DUROSS
DIRECTOR
43 DESERT HIGHLANDS DR
HENDERSON NV 89052

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/18
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 No
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 No
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 JAMES JACKSON
Signature Title SECRETARY/DIRECTOR
Signature Date 8/22/18

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