FORM 1023-EZ for FRIENDS OF LAKE MARTIN

Field Data
EIN 81-1184182
Case Number EO-2016230-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF LAKE MARTIN
Organization’s Mailing Address 205 WASHINGTON STREET
City BREAUX BRIDGE
State LA
ZIP 70517
Accounting period End 6
Primary contact name CHESTER STEWART CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY LYNN CHAUFFE
PRRESIDENT
205 WASHINGTON
BREAUX BRIDGE LA 70517

Officer/Director/Trustee Two

CONNI COSTILLE
SECRETARY/TREASURER
125 ROMA DRIVE
BREAUX BRIDGE LA 70517

Officer/Director/Trustee Three

HAYWOOD MARTIN
VICE PRESIDENT
400 GLYNNDALE AVENUE
LAFAYETTE LA 70506

Organization’s website FRIENDSOFLAKEMARTIN.ORG
Organization’s email FRIENDSOFLAKEMARTIN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 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
Signature Title
Signature Date

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