FORM 1023-EZ for BAYOU ANIMAL RESCUE KREWE

Field Data
EIN 81-3137706
Case Number EO-2016229-000403
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAYOU ANIMAL RESCUE KREWE
Organization’s Mailing Address 630 EAST SCHOOL STREET
City LAKE CHARLES
State LA
ZIP 70607
Accounting period End 12
Primary contact name LUCIUS STARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LUCIUS STARK
PRESIDENT
630 EAST SCHOOL STREET
LAKE CHARLES LA 70607

Officer/Director/Trustee Two

DIANA ANDERSEN
SECRETARY
144 MUSTANG STREET
SULPHUR LA 70663

Officer/Director/Trustee Three

SHARON FUSELIER
TREASURER
708 TOPSY ROAD
LAKE CHARLES LA 70605

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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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