FORM 1023-EZ for MYBROTHERSNOTDEAD INC

Field Data
EIN 87-2462347
Case Number EO-2021250-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MYBROTHERSNOTDEAD INC
Organization’s Mailing Address 381 ROBERSON ROAD
City PLAIN DEALING
State LA
ZIP 71064
Accounting period End 12
Primary contact name BLAKELY BROCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKELY BROCK
PRESIDENT
381 ROBERSON ROAD
PLAIN DEALING LA 71064

Officer/Director/Trustee Two

DAMIONE BROCK
VICE PRESIDENT
801 BIGFORK DRIVE
ARLINGTON TX 76001

Officer/Director/Trustee Three

JAMAAL STEPHENS
SECRETARY
532 SHELTON STREET
PLAIN DEALING LA 71064

Officer/Director/Trustee Four

DELAYNE BROCK
TREASURER
371 ROBERSON ROAD
PLAIN DEALING LA 71064

Officer/Director/Trustee Five

CHANCELON RUSSELL
DIRECTOR
11526 MORTON ROAD
KEITHVILLE LA 71047

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2021
Organization Incorporation State LA
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 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 BLAKELY BROCK
Signature Title PRESIDENT
Signature Date 9/2/2021

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