FORM 1023-EZ for CROWLEY OPTIMIST CLUB FOUNDATION INC

Field Data
EIN 47-4294775
Case Number EO-2015173-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROWLEY OPTIMIST CLUB FOUNDATION INC
Organization’s Mailing Address 103 NORTH AVE F
City CROWELY
State LA
ZIP 70526
Accounting period End 12
Primary contact name L CHARLES ABSHIRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KERRI CHAISSON
PRESIDENT
1020 STAGE COACH RD
CROWLEY LA 70526

Officer/Director/Trustee Two

ERIN WILLIAMS
SECRETARY
617 NORTH AVE J
CROWLEY LA 70526

Officer/Director/Trustee Three

GLENN DAILEY
VICE PRESIDENT
1051 EAST THIRD ST
CROWLEY LA 70526

Officer/Director/Trustee Four

CHARLES ABSHIRE
TREASURER
2 DORIS COURT
CRFOWLEY LA 70526

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O51 - Youth Community Service Clubs
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 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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