FORM 1023-EZ for TEAM LIFELINE SUICIDE AWARENESS ANDPREVENTION INC

Field Data
EIN 82-2864555
Case Number EO-2021097-001363
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEAM LIFELINE SUICIDE AWARENESS ANDPREVENTION INC
Organization’s Mailing Address 232 IDLEWILD DR
City HOUMA
State LA
ZIP 70364
Accounting period End 12
Primary contact name TITUS P SAVOIE JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TITUS SAVOIE JR
DIRECTOR
232 IDLEWILD DR
HOUMA LA 70364

Officer/Director/Trustee Two

DIANE RACINE
ADMINISTRATOR
2890 EXPRESS BLVD
HOUMA LA 70363

Officer/Director/Trustee Three

DAWN DUFRENE
ASSISTANT
3140 HIGHWAY 1
RACELAND LA 70394

Officer/Director/Trustee Four

TIFFANY THERIOT
SECRETARY TREASURER
206 RHETT PLACE
GRAY LA 70359

Officer/Director/Trustee Five

MICHAEL COURTEAUX
OFFICER
232 IDLEWILD DR
HOUMA LA 70364

Organization’s website WWW.TEAMLIFELINES.COM
Organization’s email TEAMLIFELINES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/11/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
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 No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity Yes
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 TITUS SAVOIE JR
Signature Title DIRECTOR
Signature Date 3/15/2021

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