FORM 1023-EZ for CHURCH MEDIA CENTRAL INC

Field Data
EIN 81-2758257
Case Number EO-2016285-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHURCH MEDIA CENTRAL INC
Organization’s Mailing Address 110 TERRACE OAK LANE
City BROUSSARD
State LA
ZIP 70518
Accounting period End 12
Primary contact name MICAH R VIDRINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL MANCUSO
PRESIDENT
110 TERRACE OAK LANE
BROUSSARD LA 70518

Officer/Director/Trustee Two

STEVE SCHAAF
VICE PRESIDENT
215 BELLE MAISON DR
LAFAYETTE LA 70506

Officer/Director/Trustee Three

TRISH MANCUSO
DIRECTOR
112 HAMPSHIRE ST
YOUNGSVILLE LA 70592

Officer/Director/Trustee Four

MICAH WILLIS
DIRECTOR
211 BERINGER DR
DUSON LA 70529

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/8/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U41 - Computer Science
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
Signature Title
Signature Date

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