FORM 1023-EZ for LOUISIANA AGING NETWORK ASSOCIATIONINCORPORATED

Field Data
EIN 72-1011605
Case Number EO-2019037-000420
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOUISIANA AGING NETWORK ASSOCIATIONINCORPORATED
Organization’s Mailing Address PO BOX 61
City BATON ROUGE
State LA
ZIP 70821
Accounting period End 12
Primary contact name BRIANNA ROME
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LESLIE KEEN
PRESIDENT, DIRECTOR
PO BOX 61
BATON ROUGE LA 70821

Officer/Director/Trustee Two

JACKIE GREEN
TREASURER, DIRECTOR
PO BOX 61
BATON ROUGE LA 70821

Officer/Director/Trustee Three

APRIL KELLER
SECRETARY, DIRECTOR
PO BOX 61
BATON ROUGE LA 70821

Officer/Director/Trustee Four

ANGELE AUTHEMENT
VICE PRESIDENT, DIRECTOR
PO BOX 61
BATON ROUGE LA 70821

Officer/Director/Trustee Five

LISA DEROUEN
PAST PRESIDENT, DIRECTOR
PO BOX 61
BATON ROUGE LA 70821

Organization’s website LOUISIANA-AGING.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/83
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P03 - Professional Societies, Associations
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name LESLIE KEEN
Signature Title PRESIDENT, DIRECTOR
Signature Date 1/1/19

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