FORM 1023-EZ for YOUTH LITERACY FOUNDATION OF ACADIANA

Field Data
EIN 47-5439940
Case Number EO-2016103-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUTH LITERACY FOUNDATION OF ACADIANA
Organization’s Mailing Address PO BOX 62990
City LAFAYETTE
State LA
ZIP 70596
Accounting period End 12
Primary contact name COREY JACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

COREY JACK
EXECUTIVE DIRECTOR, CHAIRMAN
100 MCDONALD ST APT H 11
LAFAYETTE LA 70506

Officer/Director/Trustee Two

DENOVA BROWN
SECRETARY, TREASURER
90 NORTH LAKE ST APT 202D
LAFAYETTE LA 70506

Officer/Director/Trustee Three

ADAM GUIDRY
BOARD MEMBER
1716 15TH ST
LAKE CHARLES LA 70601

Officer/Director/Trustee Four

TODD BUTEAUX
BOARD MEMBER
110 E MARTIAL AVE APT 1334
LAFAYETTE LA 70508

Organization’s website YOUTHLITERACYFOUNDATION.BLOGSPOT.COM
Organization’s email COREYJACK@ACADIANALITERACY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B92 - Remedial Reading, Reading Encouragement
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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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