FORM 1023-EZ for FLEUR DE LEAF SOCIAL CLUB

Field Data
EIN 46-1904579
Case Number EO-2017081-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FLEUR DE LEAF SOCIAL CLUB
Organization’s Mailing Address 3649 LAKE LYNN DRIVE
City GRETNA
State LA
ZIP 70056-8334
Accounting period End 10
Primary contact name KELLOM WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLOM WILLIAMS
SECRETARY/TREASURER
3649 LAKE LYNN DR
GRETNA LA 70056-8334

Officer/Director/Trustee Two

DARRELL DOUCETTE
PRESIDENT
3401 FRENCHMEN ST
NEW ORLEANS LA 70122-3738

Officer/Director/Trustee Three

CHRISTOPHER DAVIS
VICE PRESIDENT
7510 TRAPIER AVE
NEW ORLEANS LA 70127-1640

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2013
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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 Yes
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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