FORM 1023-EZ for OUR LADY OF THE GULF

Field Data
EIN 47-4639459
Case Number EO-2016270-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OUR LADY OF THE GULF
Organization’s Mailing Address 853 MARTINEZ ROAD
City THIBODAUX
State LA
ZIP 70301
Accounting period End 12
Primary contact name CINDIE ROUSSEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA ROUSSEL
PRESIDENT
853 MARTINEZ ROAD
THIBODAUX LA 70301

Officer/Director/Trustee Two

CHRIS JONES
VICE-PRESIDENT
PO BOX 1151
BATON ROUGE LA 70821

Officer/Director/Trustee Three

WHITNEY FLETCHER
CHIEF ADMINISTRATION OFFICER
853 MARTINEZ ROAD
THIBODAUX LA 70301

Officer/Director/Trustee Four

DUSTIN TERRY
DIRECTOR OF MARKETING AND SALES
843 MARTINEZ ROAD
THIBODAUX LA 70301

Officer/Director/Trustee Five

RACHEL NORRIS
SECRETARY
14315 CENTER TOWN
BATON ROUGE LA 70810

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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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