FORM 1023-EZ for NATIONAL MEN FOR LIFE

Field Data
EIN 83-1332402
Case Number EO-2018234-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NATIONAL MEN FOR LIFE
Organization’s Mailing Address 200 ROBERT E LEE BLVD
City NEW ORLEANS
State LA
ZIP 70124-2537
Accounting period End 12
Primary contact name THOMAS BURGESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS BURGESS
PRESIDENT, DIRECTOR
1900 CONCORD AVENUE
METAIRIE LA 70003-2158

Officer/Director/Trustee Two

MATTHEW SEYMOUR
TREASURER, DIRECTOR
305 LAC IBERVILLE DRIVE
LULING LA 70070-4294

Officer/Director/Trustee Three

ANDREW SEYMOUR
SECRETARY, DIRECTOR
305 LAC IBERVILLE DRIVE
LULING LA 70070-4294

Officer/Director/Trustee Four

ASHLEN SANDOZ
OFFICER
204 RANGER PLACE
SLIDELLE LA 70458

Officer/Director/Trustee Five

ALEXANDRA SEGHERS
OFFICER
209 PINE STREET
METAIRIE LA 70005

Organization’s website
Organization’s email INFO@NATIONALMENFORLIFE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R62 - Right to Life
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 Yes
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 THOMAS BURGESS
Signature Title PRESIDENT, DIRECTOR
Signature Date 8/20/18

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