FORM 1023-EZ for FRIENDS OF CLAIRE HOUSE INC

Field Data
EIN 72-1398164
Case Number EO-2016146-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF CLAIRE HOUSE INC
Organization’s Mailing Address 1101 SOUTHEAST BLVD BLDG A
City BAYOU VISTA
State LA
ZIP 70380
Accounting period End 6
Primary contact name TERRY FOULCARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY FOULCARD
DIRECTOR
1101 SOUTHEAST BLVD BLDG A
BAYOU VISTA LA 70380

Officer/Director/Trustee Two

CHARLES GILDER
VICE PRESIDENT
PO BOX 286
MORGAN CITY LA 70380

Officer/Director/Trustee Three

HERMAN HARTMAN
PRESIDENT
2608 HEMLOCK STREET
MORGAN CITY LA 70380

Officer/Director/Trustee Four

ALMETRA FRANKLIN
DIRECTOR
PO BOX 271
FRANKLIN LA 70538

Officer/Director/Trustee Five

KAREN MATTHEWS
DIRECTOR
PO BOX 520
CHARENTON LA 70523

Organization’s website
Organization’s email DIRECTOR@CLAIREHOUSE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/1997
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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