FORM 1023-EZ for TEAM EMERY LEA

Field Data
EIN 81-4203471
Case Number EO-2016301-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TEAM EMERY LEA
Organization’s Mailing Address 9019 HAYDEN DR
City SHREVEPORT
State LA
ZIP 71106
Accounting period End 12
Primary contact name KRISTINA BRATTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTINA BRATTIN
VICE PRESIDENT
9019 HAYDEN DR
SHREVEPORT LA 71106

Officer/Director/Trustee Two

NEIL BRATTIN
PRESIDENT
9019 HAYDEN DR
SHREVEPORT LA 71106

Officer/Director/Trustee Three

KADY HUFFMAN
OFFICER
9019 HAYDEN DR
SHREVEPORT LA 71106

Officer/Director/Trustee Four

HAYLEY MABRY
OFFICER
9019 HAYDEN DR
SHREVEPORT LA 71106

Officer/Director/Trustee Five

ASHLEY EZELL
OFFICER
615 WEST ARKANSAS AVE
VIVIAN LA 71082

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/24/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 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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