FORM 1023-EZ for MY BROTHERS KEEPER INCORPORATED

Field Data
EIN 83-1429653
Case Number EO-2019042-000199
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY BROTHERS KEEPER INCORPORATED
Organization’s Mailing Address 1822 MCCULLOH STREET
City BALTIMORE
State MD
ZIP 21217
Accounting period End 12
Primary contact name MICHELLE SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE SMITH
CEO AND CHAIRMAN OF BOARD
1822 MCCULLOH ST
BALTIMORE MD 21217

Officer/Director/Trustee Two

FRANCOIS HARRIS
CFO AND CO CHAIRMAN
806 FAIRFAX STREET
ALEXANDRIA VA 22314

Officer/Director/Trustee Three

JENNIE SANDERS
COO AND EDUCATIONAL DIRECTOR
202 QUEEN MARIE COURT
UPPER MARLBORO MD 20774

Officer/Director/Trustee Four

OMAR A ASHAKA
PUBLIC RELATIONS AND MEDIA DIR
1216 FIRTH OF LORNE CIRCLE
FT WASHINGTON MD 20774

Officer/Director/Trustee Five

DONYA ZIMMERMAN
DIRECTOR BUSINESS DEPARTMENT
1634 SHADYSIDE ROAD
BALTIMORE MD 21218

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/18
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
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 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 MICHELLE SMITH
Signature Title CEO AND CHAIRMAN OF BOARD
Signature Date 2/7/19

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