FORM 1023-EZ for LOUISIANA TRANSFORMATION SOCIETY

Field Data
EIN 85-4029158
Case Number EO-2021260-000432
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOUISIANA TRANSFORMATION SOCIETY
Organization’s Mailing Address P O BOX 452
City CROWLEY
State LA
ZIP 70527
Accounting period End 1
Primary contact name DAKOTA COURVILLE-JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAKOTA COURVILLE-JOHNSON
PRESIDENT
1333 N AVE F
CROWLEY LA 70526

Officer/Director/Trustee Two

KISSIE HANKS
SECRETARY
1309 BUATT AVE
CROWLEY LA 70526

Officer/Director/Trustee Three

KACIE BROUSSARD
VICE PRESIDENT
2612 CLEMENT RD
EGAN LA 70531

Officer/Director/Trustee Four

JAMES KIBODEAUX
OFFICER
11223 LA HWY 35
KAPLAN LA 70548

Organization’s website
Organization’s email LOUISIANATRANSFORMATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 DAKOTA COURVILLE-JOHNSON
Signature Title PRESIDENT
Signature Date 9/15/2021

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