FORM 1023-EZ for BROTHERS KEEPER MALE SUPPORT GROUP

Field Data
EIN 85-2982562
Case Number EO-2021211-000376
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BROTHERS KEEPER MALE SUPPORT GROUP
Organization’s Mailing Address 3640 SOUTH PLAZA TRAIL STE 101A
City VIRGINIA BEACH
State VA
ZIP 23452
Accounting period End 12
Primary contact name TROY EATON SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TROY EATON SR
EXECUTIVE DIRECTOR
1304 PERSHING COURT
VIRGINIA BEACH VA 23453

Officer/Director/Trustee Two

GLORIA PAYTON
SECRETARY -TREASURER
1304 PERSHING COURT
VIRGINIA BEACH VA 23453

Officer/Director/Trustee Three

LEON WILLIAMS
ASSISTANT DIRECTOR
1310 PERSHING COURT
VIRGINIA BEACH VA 23453

Organization’s website
Organization’s email BROTHERSKEEPERMSG@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2020
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TROY EATON SR
Signature Title EXECUTIVE DIRECTOR
Signature Date 7/29/2021

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