FORM 1023-EZ for THE SILTON FUSELIER JR MEDICAL FUNDINC
| Field | Data |
|---|---|
| EIN | 84-4269740 |
| Case Number | EO-2020023-000425 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE SILTON FUSELIER JR MEDICAL FUNDINC |
| Organization’s Mailing Address | 4710 W CYPRESS LANDING DR |
| City | LAKE CHARLES |
| State | LA |
| ZIP | 70605 |
| Accounting period End | 12 |
| Primary contact name | BRANDI COX |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRANDI COX
PRESIDENT AND TREASURER
4710 WEST CYPRESS LANDING DR
LAKE CHARLES LA 70605
Officer/Director/Trustee Two
CHERYL BOONE
VICE PRESIDENT
712 W WAYSIDE DR
WESTLAKE LA 70669
Officer/Director/Trustee Three
CHARLOTTE BROWN
SECRETARY
2605 AMEN CORNER
WESTLAKE LA 70669
Officer/Director/Trustee Four
CARLY FUSELIER
DIRECTOR
2413 FENIMORE LOOP
WESTLAKE LA 70669
Officer/Director/Trustee Five
KELLY PEDERSEN
DIRECTOR
2406 FENIMORE LOOP
WESTLAKE LA 70669
| Organization’s website | |
|---|---|
| Organization’s email | BRANDIREED4830@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/8/2020 |
| Organization Incorporation State | LA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E80 - Health, General and Financing |
| 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 | 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 | 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 | BRANDI COX |
| Signature Title | PRESIDENT AND TREASURER |
| Signature Date | 1/21/2020 |
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