FORM 1023-EZ for NAMI NORTHWEST LOUISIANA

Field Data
EIN 81-2918557
Case Number EO-2016210-000626
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAMI NORTHWEST LOUISIANA
Organization’s Mailing Address 325 TALLOW LN
City SHREVEPORT
State LA
ZIP 71105-4717
Accounting period End 12
Primary contact name STEVEN A GRENIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENNIS WISSING
PRESIDENT
325 TALLOW LN
SHREVEPORT LA 71105-4717

Officer/Director/Trustee Two

JUDY VESTAL
SECRETARY
225 PRESTON AVE
SHREVEPORT LA 71105-3307

Officer/Director/Trustee Three

PATTI WILLIAMS
TREASUER
840 JORAN
SHREVEPORT LA 71101-4524

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
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 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 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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