FORM 1023-EZ for LAFAYETTE COUNTY LEADERSHIP COUNCIL

Field Data
EIN 47-2197268
Case Number EO-2014323-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAFAYETTE COUNTY LEADERSHIP COUNCIL
Organization’s Mailing Address P O BOX 252
City LEWISVILLE
State AR
ZIP 71845
Accounting period End 12
Primary contact name ETHAN N DUNBAR SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ETHAN DUNBAR
PRESIDENT
908 BOURBON ST
LEWISVILLE AR 71845

Officer/Director/Trustee Two

CASSANDRA HENRY
VICE PRESIDENT
391 LAF 11
LEWISVILLE AR 71845

Officer/Director/Trustee Three

PHILESHA SOUTHERN
SECRETARY
PO BOX 556
LEWISVILLE AR 71845

Officer/Director/Trustee Four

PEGGY PULLIAM
TREASURER
506 CHERRY ST
LEWISVILLE AR 71845

Officer/Director/Trustee Five

VALERIE CLARK
ASST TREASURER
905 HWY ST
STAMPS AR 71860

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/29/2014
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Disaster relief assistance Yes
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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