FORM 1023-EZ for ACADIANA ADVOCACY NETWORK

Field Data
EIN 82-2900150
Case Number EO-2021027-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ACADIANA ADVOCACY NETWORK
Organization’s Mailing Address 4238 PERKINS RD
City YOUNGSVILLE
State LA
ZIP 70592
Accounting period End 12
Primary contact name JENNIFER NUGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES NUGENT
MEMBER
4238 PERKINS DR
YOUNGSVILLE LA 70592

Officer/Director/Trustee Two

JENNIFER NUGENT
MEMBER
4238 PERKINS DR
YOUNGSVILLE LA 70592

Officer/Director/Trustee Three

KATHY SEGURA
MEMBER
110 TEAKWOOD RD
YOUNGSVILLE LA 70592

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/4/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES NUGENT
Signature Title MEMBER
Signature Date 12/7/2020

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