FORM 1023-EZ for BROOKS SHELTER

Field Data
EIN 86-2284896
Case Number EO-2021093-000234
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROOKS SHELTER
Organization’s Mailing Address 1921 VETERANS MEMORIAL PKWY
City LANETT
State AL
ZIP 36863
Accounting period End 12
Primary contact name JESSICA COCHRAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSICA COCHRAN
CEO/FOUNDER
1921 VETERANS MEMORIAL PKWY
LANETT AL 36863

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 Yes
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 Yes
Gaming Activity No
Disaster relief assistance Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JESSICA COCHRAN
Signature Title CEO/FOUNDER
Signature Date 2/27/2021

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