FORM 1023-EZ for HONEY BRAKE CONFLUENCE FOUNDATION

Field Data
EIN 82-2863156
Case Number EO-2017268-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HONEY BRAKE CONFLUENCE FOUNDATION
Organization’s Mailing Address 208 SAVANNA DRIVE
City LULING
State LA
ZIP 70070
Accounting period End 6
Primary contact name PATRICK TUCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT CAZAYOUX
TREASURER
606 NORTH MICHOT RD
LAFAYETTE LA 70508

Officer/Director/Trustee Two

PAUL COREIL
CHAIRPERSON
6135 RIVERBEND LAKES DR
BATON ROUGE LA 70820

Officer/Director/Trustee Three

HALI DARDAR
SECRETARY
930 LAFAYETTE ST
NEW ORLEANS LA 70113

Officer/Director/Trustee Four

ERIC FORSYTH
VICE CHAIRPERSON
1500 BIRCHMONT DR NE
BEMIDJI MN 56601

Officer/Director/Trustee Five

PATRICK TUCK
EXECUTIVE DIRECTOR
208 SAVANNA DR
BRENTWOOD TN 70070

Organization’s website
Organization’s email PATRICK@THECGRIVERS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 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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