FORM 1023-EZ for COOPER ROAD USA INC

Field Data
EIN 82-1175920
Case Number EO-2017173-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COOPER ROAD USA INC
Organization’s Mailing Address 2138 JAMISON STREET
City SHREVEPORT
State LA
ZIP 71107
Accounting period End 12
Primary contact name CARL MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARL MOORE
CHAIRMAN
2138 JAMISON STREET
SHREVEPORT LA 71107

Officer/Director/Trustee Two

DON TAYLOR
VICE CHAIRMAN
2601 DEVAUGHN
SHREVEPORT LA 71108

Officer/Director/Trustee Three

CICELY CAREY-COLEMAN
SECRETARY
2831 FIFTH STREET
SHREVEPORT LA 71107

Officer/Director/Trustee Four

MARVIA WASHINGTON
TREASURER
2138 JAMISON STREET
SHREVEPORT LA 71107

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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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