FORM 1023-EZ for TERRA BELLA INSTITUTE INC

Field Data
EIN 81-4365526
Case Number EO-2017257-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TERRA BELLA INSTITUTE INC
Organization’s Mailing Address 111 TERRA BELLA BLVD
City COVINGTON
State LA
ZIP 70433-8148
Accounting period End 12
Primary contact name LAURA THIBODAUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURA THIBODAUX
PRESIDENT
111 TERRA BELLA BLVD
COVINGTON LA 70433-8148

Officer/Director/Trustee Two

AIMEE FORET
VICE PRESIDENT
111 TERRA BELLA BLVD
COVINGTON LA 70433-8148

Officer/Director/Trustee Three

WAYNE BURAS
SEC/TREASURER
2895 HWY 190 - 211
COVINGTON LA 70433

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/17/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - Fund Raising and/or Fund Distribution
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 No
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 No
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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