FORM 1023-EZ for I AM MY BROTHERS KEEPER MINISTRY

Field Data
EIN 83-0813999
Case Number EO-2019029-000479
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name I AM MY BROTHERS KEEPER MINISTRY
Organization’s Mailing Address 1816 PRINCE GEORGE AVE
City EVANS
State GA
ZIP 30809
Accounting period End 12
Primary contact name DERRICK ARMSTRONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERRICK ARMSTRONG
PRESIDENT
1816 PRINCE GEORGE AVE
EVANS GA 30809

Officer/Director/Trustee Two

LAKESHA ARMSTRONG
TREASURER
1816 PRINCE GEORGE AVE
EVANS GA 30809

Officer/Director/Trustee Three

TASHA TRAILS
SECRETARY
3531 SANDY DRIVE
AUGUSTA GA 30909

Officer/Director/Trustee Four

KERRY HAWTHORNE
VICE PRESIDENT
1816 PRINCE GEORGE AVE
EVANS GA 30809

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/18
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 Yes
Donation of funds Yes
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 DERRICK ARMSTRONG
Signature Title PRESIDENT
Signature Date 12/21/18

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