FORM 1023-EZ for CODY NESSMITH FOUNDATION

Field Data
EIN 86-2644104
Case Number EO-2021100-000972
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CODY NESSMITH FOUNDATION
Organization’s Mailing Address 514 NESSMITH ROAD
City GLENMORA
State LA
ZIP 71433
Accounting period End 12
Primary contact name LAWANDA NESSMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY NESSMITH
PRESIDENT
514 NESSMITH ROAD
GLENMORA LA 71433

Officer/Director/Trustee Two

KAY NESSMITH
SECRETARY
514 NESSMITH ROAD
GLENMORA LA 71433

Officer/Director/Trustee Three

MICHELLE ANTHONY
BOARD MEMBER
P O BOX 11
CARTHAGE TX 75633

Officer/Director/Trustee Four

SONYA RACHAL
BOARD MEMBER
373 HWY 465
SIEPER LA 71472

Officer/Director/Trustee Five

KASSIDY LOVELL
BOARD MEMBER
4529 HWY 90
MADISONVILLE TX 77864

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2021
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: 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KAY NESSMITH
Signature Title SECRETARY
Signature Date 3/30/2021

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