FORM 1023-EZ for MY BROTHERS KEEPER YES I AM

Field Data
EIN 30-1192704
Case Number EO-2021099-000265
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY BROTHERS KEEPER YES I AM
Organization’s Mailing Address 560 FLINT PARC CIRCLE
City BESSEMER
State AL
ZIP 35022
Accounting period End 12
Primary contact name HERMAN BARHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HERMAN BARHAM
FOUNDER
560 FLINT PARC CIRCLE
BESSEMER AL 35022

Officer/Director/Trustee Two

SOLOMON WILLIAMS
DIRECTOR
4304 BUFFORD ROAD
ADGER AL 35006

Officer/Director/Trustee Three

ANTONIO HALL
DIRECTOR
1312 AVENUE H
BIRMINGHAM AL 35218

Officer/Director/Trustee Four

HERMAN BARHAM IV
DIRECTOR
560 FLINT PARC CIRCLE
BESSEMER AL 35022

Officer/Director/Trustee Five

MONICA WOODARD
SECRETARY
PO BOX 8248
BESSEMER AL 35218

Organization’s website
Organization’s email MYBROTHER_KEEPER@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2021
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O30 - Adult, Child Matching Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
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 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 HERMAN BARHAM
Signature Title FOUNDER
Signature Date 3/23/2021

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