FORM 1023-EZ for LOUISIANA COMMUNITY BETTERMENT ASSOCIATION

Field Data
EIN 81-3693130
Case Number EO-2016259-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOUISIANA COMMUNITY BETTERMENT ASSOCIATION
Organization’s Mailing Address 13384 HWY NN
City LOUISIANA
State MO
ZIP 63353
Accounting period End 12
Primary contact name DIANE HUCKSTEP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANA HUCKSTEP
CHAIRMAN
13384 HWY NN
LOUISIANA MO 63353

Officer/Director/Trustee Two

CINDY BLAYLOCK
SECRETARY
10404 PIKE 9137
LOUISIANA MO 63353

Officer/Director/Trustee Three

RANDALL CONE
TREASURER
PO BOX 447
LOUISIANA MO 63353

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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