FORM 1023-EZ for 100 CLUB OF ST TAMMANY INC

Field Data
EIN 81-4573648
Case Number EO-2017055-000576
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name 100 CLUB OF ST TAMMANY INC
Organization’s Mailing Address 450 N CAUSEWAY BLVD SUITE D
City MANDEVILLE
State LA
ZIP 70448
Accounting period End 12
Primary contact name MARIE RUDD GREGORY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK JOHNSON
PRESIDENT/DIRECTOR
604 W 2ND STREET
COVINGTON LA 70433

Officer/Director/Trustee Two

TODD GREGORY
VICE PRESIDENT/DIRECTOR
70 BRETTON WAY
MANDEVILLE LA 70471

Officer/Director/Trustee Three

MARIE RUDD GREGORY
SECTY-TRSR/DIRECTOR
70 BRETTON WAY
MANDEVILLE LA 70471

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/8/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 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
Signature Title
Signature Date

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