FORM 1023-EZ for DECLARE HOPE

Field Data
EIN 81-1616530
Case Number EO-2016294-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DECLARE HOPE
Organization’s Mailing Address 6302 CYPRESS POINT DRIVE
City MONROE
State LA
ZIP 71203
Accounting period End 12
Primary contact name JACIE SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACIE SCOTT
PRESIDENT/DIRECTOR
6302 CYPRESS POINT DRIVE
MONROE LA 71203

Officer/Director/Trustee Two

MICHELLE DOUGLAS
TREASURER/DIRECTOR
6302 CYPRESS POINT DRIVE
MONROE LA 71203

Officer/Director/Trustee Three

CYNTHIA BROWN-MANNING
SECRETARY/DIRECTOR
6302 CYPRESS POINT DRIVE
MONROE LA 71203

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 No
Donation of funds Yes
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
Signature Title
Signature Date

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