FORM 1023-EZ for PELICAN SOCIETY

Field Data
EIN 81-0735524
Case Number EO-2015355-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PELICAN SOCIETY
Organization’s Mailing Address 3080 MAIN HWY
City BREAUX BRIDGE
State LA
ZIP 70517
Accounting period End 12
Primary contact name RICKY SASSAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RICKY SASSAU
DIRECTOR
3080 MAIN HWY
BREAUX BRIDGE LA 70517

Officer/Director/Trustee Two

COREY JEANLOUIS
DIRECTOR
206 AGGIE LANE
NEW IBERIA LA 70563

Officer/Director/Trustee Three

PAULA JORDAN
DIRECTOR
1241 WEST LANDRY ST
OPELOUSAS LA 70570

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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