FORM 1023-EZ for WIDELOAD

Field Data
EIN 83-0750092
Case Number EO-2018169-000618
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WIDELOAD
Organization’s Mailing Address PO BOX 1012
City YOUNGSVILLE
State LA
ZIP 70592
Accounting period End 12
Primary contact name BLAKE COUVILLION
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLAKE COUVILLION
PRESIDENT
1063 RIVER RIDGE DR
BREAUX BRIDGE LA 70517

Officer/Director/Trustee Two

BRANDON BENOIT
VICE PRESIDENT
106 COUNTRY PARK DR
YOUNGSVILLE LA 70592

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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 BLAKE COUVILLION
Signature Title PRESIDENT
Signature Date 6/14/18

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