FORM 1023-EZ for BROUSSARD YOUNGSVILLE YOUTH ASSOCIATION 7

Field Data
EIN 47-1634475
Case Number EO-2015201-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROUSSARD YOUNGSVILLE YOUTH ASSOCIATION 7
Organization’s Mailing Address P O BOX 112
City BROUSSARD
State LA
ZIP 70518
Accounting period End 12
Primary contact name SHANNON PORTALIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KAYLA REAUX
PRESIDENT
209 CORNISH PLACE
YOUNGSVILLE LA 70592

Officer/Director/Trustee Two

AMY PITRE
VICE PREISDENT
308 STAGS LEAP LANE
BROUSSARD LA 70518

Officer/Director/Trustee Three

CHASITY BROUSSARD
SECRETARY
325 TEAKWOOD DRIVE
YOUNGSVILLE LA 70592

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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
Signature Title
Signature Date

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