FORM 1023-EZ for BORN WITH ANGEL WINGS

Field Data
EIN 83-3638798
Case Number EO-2019064-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORN WITH ANGEL WINGS
Organization’s Mailing Address 13340 COUNTRY MEADOW AVE
City BATON ROUGE
State LA
ZIP 70816-4948
Accounting period End 12
Primary contact name CLIFTON ANCELET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCES WILLIAMS
PRESIDENT
13340 COUNTRY MEADOW AVE
BATON ROUGE LA 70816-4948

Officer/Director/Trustee Two

CLIFTON ANCELET
VICE PRESIDENT
13340 COUNTRY MEADOW AVE
BATON ROUGE LA 70816-4948

Officer/Director/Trustee Three

APRIL WELSH AUCOIN
TREASURER
7427 OAK MEADOW DR
BATON ROUGE LA 70818

Officer/Director/Trustee Four

JENNIFER STARNS
SECRETARY
13110 GREENWELL SPRINGS RD
GREENWELL SPRINGS LA 70739-3278

Organization’s website
Organization’s email BORNWITHANGELWINGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 CLIFTON ANCELET
Signature Title VICE PRESIDENT
Signature Date 3/3/19

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