FORM 1023-EZ for KEION BROOKS INC

Field Data
EIN 87-2681797
Case Number EO-2021263-000588
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEION BROOKS INC
Organization’s Mailing Address 2810 ASHCROFT DR
City FT WAYNE
State IN
ZIP 46806-3402
Accounting period End 12
Primary contact name KEION BROOKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEION BROOKS
PRESIDENT
2810 ASHCROFT DR
FT WAYNE IN 46806-3402

Officer/Director/Trustee Two

ONA ISREAL
VICE PRESIDENT
3532 WINTER
FT WAYNE IN 46806-3639

Officer/Director/Trustee Three

MICHELLE KING
SECRETARY
829 E WAYNE ST
FT WAYNE IN 46803-3639

Officer/Director/Trustee Four

JEVIN TORAIN
TRUSTEE
49 BONNER
DAYTON OH 45410-1223

Organization’s website
Organization’s email KEIONBROOKS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
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 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 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 KEION BROOKS
Signature Title PRESIDENT
Signature Date 9/18/2021

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