FORM 1023-EZ for CIERA BROOKINS LUPUS EDUCATIONAL FOUNDATION INC

Field Data
EIN 84-2696736
Case Number EO-2019261-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIERA BROOKINS LUPUS EDUCATIONAL FOUNDATION INC
Organization’s Mailing Address 2406 WINDBREAK DRIVE
City ALEXANDRIA
State VA
ZIP 22306
Accounting period End 12
Primary contact name EDGAR A BROOKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDGAR BROOKINS
DIRECTOR (CHAIR)/PRESIDENT
2406 WINDBREAK DRIVE
ALEXANDRIA VA 22306

Officer/Director/Trustee Two

TARA DAVIS
DIRECTOR/TREASURER/SECRETARY
8923 GARRETT WAY
MANASSAS VA 20112

Officer/Director/Trustee Three

JOE AND GWEN HOWZE SR
DIRECTOR
10611 FEATERSTONE DRIVE
FORT WASHINGTON MD 20744

Officer/Director/Trustee Four

DEXTER BROOKINS
DIRECTOR/VICE PRESIDENT
102 N MILL ST APT 1107
JACKSON MS 39201

Officer/Director/Trustee Five

ANGEL BROOKINS
DIRECTOR
401 S GATEHOUSE DRIVE APT A
METAIRIE LA 70001

Organization’s website
Organization’s email CLEF2516@GMAIL.COM OR EBROOKINS47@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H99 - Medical Research N.E.C.
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 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 EDGAR BROOKINS
Signature Title DIRECTOR (CHAIR)/PRESIDENT
Signature Date 9/16/19

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