FORM 1023-EZ for MY BROTHERZ KEEPER

Field Data
EIN 87-1958885
Case Number EO-2021231-000422
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY BROTHERZ KEEPER
Organization’s Mailing Address 909 WILD WOLF DR
City GREENSBORO
State MI
ZIP 27406
Accounting period End 12
Primary contact name LATRISE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

QUIZAN FITZ
DIRECTOR
909 WILD WOLF DR
GREENSBORO NC 27406

Officer/Director/Trustee Two

LATRISE SMITH
OFFICER
21559 WAVERLY DR
MACOMB MI 48044

Officer/Director/Trustee Three

QUENTIN FITZ
OFFICER
909 WILD WOLF DR
GREENSBORO NC 27406

Officer/Director/Trustee Four

QUIZAN FITZ JR
OFFICER
909 WILD WOLF DR
GREENSBORO MI 27406

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J20 - Employment Procurement Assistance, Job Training
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
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 LATRISE SMITH
Signature Title OFFICER
Signature Date 8/17/2021

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