FORM 1023-EZ for BATON ROUGE BENGALS YOUTH SPORTS ORGANIZATION

Field Data
EIN 11-3765647
Case Number EO-2018298-000122
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BATON ROUGE BENGALS YOUTH SPORTS ORGANIZATION
Organization’s Mailing Address 406 NORTH FOURTH STREET
City BATON ROUGE
State LA
ZIP 70802
Accounting period End 12
Primary contact name TANISHA ROBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DWAYNE MANOGIN
PRESIDENT
2666 74TH AVENUE
BATON ROUGE LA 70807

Officer/Director/Trustee Two

MYKENZ BROWN
TREASURER
15606 TREASURER AVENUE
BATON ROUGE LA 70817

Officer/Director/Trustee Three

ROBERT BROWN
VICE-PRSIDENT
15606 TREASURER AVENUE
BATON ROUGE LA 70817

Officer/Director/Trustee Four

KEIANNA WILLIAMS
SECRETARY
9049 MEADOWCREEK AVENUE
BATON ROUGE LA 70810

Officer/Director/Trustee Five

TANISHA ROBY
REGISTERED AGENT
20302 CHEVALIER AVENUE
BATON ROUGE LA 70817

Organization’s website N/A
Organization’s email BRBENGALATHLETICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 TANISHA ROBY
Signature Title REGISTERED AGENT
Signature Date 10/23/18

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