FORM 1023-EZ for BAYOU COUNTRY ANIMAL FOUNDATION INC

Field Data
EIN 85-0618890
Case Number EO-2020134-000231
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAYOU COUNTRY ANIMAL FOUNDATION INC
Organization’s Mailing Address 129 MAHLER STREET
City HOUMA
State LA
ZIP 70363
Accounting period End 12
Primary contact name JASON G SERRANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH WHITNEY
PRESIDENT
908 FRANKLIN AVENUE
HOUMA LA 70364

Officer/Director/Trustee Two

LINSI CENAC
VICE PRESIDENT
4945 IMPERIAL DRIVE
HOUMA LA 70360

Officer/Director/Trustee Three

LAYLA FORET
TREASURER/SECRETARY
1505 BAYOU BLUE ROAD
HOUMA LA 70364

Officer/Director/Trustee Four

JASON SERRANO
DIRECTOR
129 MAHLER STREET
HOUM LA 70363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2020
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: Yes
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 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 JASON SERRANO
Signature Title DIRECTOR
Signature Date 5/11/2020

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