FORM 1023-EZ for MY BROTHERS KEEPER CORP

Field Data
EIN 47-5353673
Case Number EO-2015306-000310
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY BROTHERS KEEPER CORP
Organization’s Mailing Address 710 DACULA RD UNIT 4A-220
City DACULA
State GA
ZIP 30019
Accounting period End 12
Primary contact name KITA MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REMAHLIA KORMALOS
OFFICER
710 DACULA RD UNIT 4A-220
DACULA GA 30019

Officer/Director/Trustee Two

GEORGIOS KORMALOS
OFFICER
710 DACULA RD UNIT 4A-220
DACULA GA 30019

Officer/Director/Trustee Three

SALEM WELDEYESUS
OFFICER
710 DACLA RD UNIT 4A-220
DACULA GA 30019

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2015
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 Yes
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 Yes
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
Signature Title
Signature Date

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