FORM 1023-EZ for ENCOUNTER LAFAYETTE

Field Data
EIN 87-2234767
Case Number EO-2021232-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ENCOUNTER LAFAYETTE
Organization’s Mailing Address 612 CAMELLIA DR
City LAFAYETTE
State LA
ZIP 70503
Accounting period End 12
Primary contact name BRAXTON CALLEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAXTON CALLEN
EXECUTIVE DIRECTOR
612 CAMELLIA DR
LAFAYETTE LA 70503

Officer/Director/Trustee Two

LIBBY FULTON
SECRETARY
345 ORANGEWOOD DR
LAFAYETTE LA 70503

Officer/Director/Trustee Three

SCOTTY BAUDOIN
OFFICER
1304 BERTRAND DR SUITE F7
LAFAEYTTE LA 70506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents No
Organization Incorporation Date 8/18/2021
Organization Incorporation State LA
Contains Limitation No
Does not expressly empower No
Contains dissolution No
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: No
Religious: Yes
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption Yes
Legislation influence No
Compensation of Officer director trustee No
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 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 No
Signature Name BRAXTON CALLEN
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/18/2021

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