FORM 1023-EZ for MY BROTHERS PLACE INC

Field Data
EIN 83-2175576
Case Number EO-2018295-000073
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY BROTHERS PLACE INC
Organization’s Mailing Address 2204 E 2070 RD
City HUGO
State OK
ZIP 74743
Accounting period End 12
Primary contact name JENNIFER PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER PARKER
EXECUTIVE DIRECTOR
2204 E 2070 RD
HUGO OK 74743

Officer/Director/Trustee Two

HOLLY BOLDING
BOARD PRESIDENT
1119 S MAIN ST
FORT TOWSON OK 74735

Officer/Director/Trustee Three

APRIL BENNETT
BOARD VICE PRESIDENT
2195 E 2085 RD
HUGO OK 74743

Officer/Director/Trustee Four

JAMES JOHNS
BOARD SECRETARY
404 N BROADWAY ST
HUGO OK 74743

Organization’s website
Organization’s email PARKER.JENNIFER.LYNN@HUGHES.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
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 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 JENNIFER PARKER
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/18/18

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