FORM 1023-EZ for LAUREL OAKS FOUNDATION

Field Data
EIN 47-2005522
Case Number EO-2014281-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAUREL OAKS FOUNDATION
Organization’s Mailing Address 999 N 9TH STREET SUITE 111
City BATON ROUGE
State LA
ZIP 70802
Accounting period End 12
Primary contact name SHAFEEQ SHAMSID DEEN JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAFEEQ SHAMSID-DEEN JR
PRESIDENT
PO BOX 3782
BATON ROUGE LA 70821

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2014
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B29 - Charter Schools
Organization’s purpose Charitable: No
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 Yes
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
Signature Title
Signature Date

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