FORM 1023-EZ for AMERICAN CASE MANAGEMENT ASSOCIATION LOUISIANA CHAPTER

Field Data
EIN 82-4818860
Case Number EO-2018128-000901
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN CASE MANAGEMENT ASSOCIATION LOUISIANA CHAPTER
Organization’s Mailing Address 11701 WEST 36TH STREET
City LITTLE ROCK
State AR
ZIP 72211
Accounting period End 4
Primary contact name KRISTY SHEPHERD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA ZICKLER
PRESIDENT
1514 JEFFERSON HIGHWAY
NEW ORLEANS LA 70121

Officer/Director/Trustee Two

ANNIE BREAUX
SECRETARY
2315 E MAIN STREET
NEW IBERIA LA 70560

Officer/Director/Trustee Three

JASON LINDSEY
TREASURER
15790 PAUL VEGA MD DRIVE
HAMMOND LA 70403

Officer/Director/Trustee Four

MARTHA MALLETTE
DIRECTOR
5037 HIGHWAY 383
KINDER LA 70648

Officer/Director/Trustee Five

L GREG CUNNINGHAM
CEO
11701 WEST 36TH STREET
LITTLE ROCK AR 72211

Organization’s website ACMAWEB.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/17
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 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 L GREG CUNNINGHAM
Signature Title CEO
Signature Date 5/3/18

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