FORM 1023-EZ for THE BROOK INC

Field Data
EIN 84-5093004
Case Number EO-2020231-000242
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BROOK INC
Organization’s Mailing Address 625 BERKELEY RUN
City ATLANTA
State GA
ZIP 30342
Accounting period End 12
Primary contact name TRILENA AMOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRILENA AMOS
FOUNDER, CHAIRPERSON
625 BERKELEY RUN
ATLANTA GA 30342

Officer/Director/Trustee Two

DARNELL MINOR
VICE CHAIR, TREASURER
P O BOX 7291
ATLANTA GA 30357

Officer/Director/Trustee Three

ANGELICA WALLER
SECRETARY
680 WEST CONCRD STREET APT 535
ORLANDO FL 32801

Organization’s website
Organization’s email THEBROOKATL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2020
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 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 TRILENA AMOS
Signature Title FOUNDER, CHAIRPERSON
Signature Date 8/15/2020

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