FORM 1023-EZ for FAITH IN THE BROOKE INC

Field Data
EIN 82-4616649
Case Number EO-2018289-000162
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAITH IN THE BROOKE INC
Organization’s Mailing Address 27 WILLEVER ROAD
City ASBURY
State NJ
ZIP 8802
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

JEFFREY MLOT
PRESIDENT/DIRECTOR
3474 OHARA TERRACE
NAPERVILLE IL 60564

Officer/Director/Trustee Two

SUSAN MLOT
SECRETARY/TREASURER/DIRECTOR
3474 OHARA TERRACE
NAPERVILLE IL 60564

Officer/Director/Trustee Three

LAWRENCE KAVULICH
DIRECTOR
5755 FIELDS DRIVE
YORKVILLE IL 60560

Officer/Director/Trustee Four

RAMESH PALLIKONDA
DIRECTOR
VELLATURU GUNTUR DISTRICT ANDRA
PRADESH 52225 IND

Officer/Director/Trustee Five

MARY PALLIKONDA
DIRECTOR
VELLATURU GUNTUR DISTRICT ANDRA
PRADESH 52225 IND

Organization’s website BROOKEORPHANAGE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/18
Organization Incorporation State NJ
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: No
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 No
Conducting Activities Outside of United States Yes
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 SUSAN MLOT
Signature Title SECRETARY/TREASURER/DIRECTOR
Signature Date 10/14/18

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