FORM 1023-EZ for SPARTAN HOUSE

Field Data
EIN 84-3331445
Case Number EO-2019295-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPARTAN HOUSE
Organization’s Mailing Address PO BOX 92385
City LAFAYETTE
State LA
ZIP 70509
Accounting period End 12
Primary contact name COREY JACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNELLE CORMIER
DIRECTOR
107 WOODOAK CIRCLE
LAFAYETTE LA 70506

Officer/Director/Trustee Two

STONYA ARCENEAUX
DIRECTOR
211 MAYO STREET
LAFAYETTE LA 70501

Officer/Director/Trustee Three

MARKASHIA BROWN
DIRECTOR
713 VENUS DRIVE
LAFAYETTE LA 70501

Officer/Director/Trustee Four

FRANCHESKA CORMIER
DIRECTOR
152 STATEN STREET
LAFAYETTE LA 70501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service 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 DONNELLE CORMIER
Signature Title DIRECTOR
Signature Date 10/20/19

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