FORM 1023-EZ for BASILEA FOUNDATION

Field Data
EIN 27-1701015
Case Number EO-2019133-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BASILEA FOUNDATION
Organization’s Mailing Address 513 DUMBARTON DRIVE
City SHREVEPORT
State LA
ZIP 71106
Accounting period End 12
Primary contact name KEITH CUMMINGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH CUMMINGS
PRESIDENT
513 DUMBARTON DRIVE
SHREVEPORT LA 71106

Officer/Director/Trustee Two

TROY CUMMINGS
EXECUTIVE VICE-PRESIDENT
2421 CHERRYFIELD DRIVE
SHREVEPORT LA 71118

Officer/Director/Trustee Three

DARYL NIGHTINGALE
DIRECTOR
6171 BERT KOUNS INDUSTRIAL BLVD APT
SHREVEPORT LA 71129

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/19
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 Yes
Donation of funds Yes
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 KEITH CUMMINGS
Signature Title PRESIDENT
Signature Date 5/9/19

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