FORM 1023-EZ for MY VILLAGE INC

Field Data
EIN 85-1030393
Case Number EO-2020139-000560
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY VILLAGE INC
Organization’s Mailing Address 3629 MEADOWLAND CT
City ZACHARY
State LA
ZIP 70791
Accounting period End 12
Primary contact name ELIZABETH ALTAZAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH ALTAZAN
DIRECTOR/PRESIDENT
3629 MEADOWLAND CT
ZACHARY LA 70791

Officer/Director/Trustee Two

GREGORY ALTAZAN JR
DIRECTOR/SECRETARY/TREASURER
3629 MEADOWLAND CT
ZACHARY LA 70791

Officer/Director/Trustee Three

ESTHER MORGAN
DIRECTOR
239 YUCATAN DR
ZACHARY LA 70791

Officer/Director/Trustee Four

BETHANY RAMBIN
DIRECTOR
37238 MARKET PLACE DR
PRIAIRIEVILLE LA 70769

Officer/Director/Trustee Five

AIMEE SYLVAS
DIRECTOR
3657 CREOLE CT
ZACHARY LA 70791

Organization’s website
Organization’s email MYVILLAGEBR@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2020
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 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 ELIZABETH ALTAZAN
Signature Title DIRECTOR/PRESIDENT
Signature Date 5/16/2020

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