FORM 1023-EZ for THE H2O EXPERIENCE INCORPORATED

Field Data
EIN 84-4398811
Case Number EO-2021033-000156
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE H2O EXPERIENCE INCORPORATED
Organization’s Mailing Address 3940 PRESCOTT RD
City BATON ROUGE
State LA
ZIP 70805
Accounting period End 12
Primary contact name THE H2O EXPERIENCE INCORPORATED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA SPRUEL
EXECUTIVE DIRECTOR
3940 PRESCOTT RD
BATON ROUGE LA 70805

Officer/Director/Trustee Two

EVA LEBEOUF
DIR. HUMAN RESOURCES
4751 DICKENS DRIVE
BATON ROUGE LA 70812

Officer/Director/Trustee Three

DREXEL DORSEY
DIR. OF RE-ENTRY SERVICES
1925 NORTH 3RD ST 112
BATON ROUGE LA 70802

Officer/Director/Trustee Four

DR HOMER CHARLES
DIR. OF OPERATIONS
6962 TITIAN AVE
BATON ROUGE LA 70806

Officer/Director/Trustee Five

DR KELSEI YOUNG
DIR. OF MENTAL HEALTH SERVICES
10645 KENLEE DR
BATON ROUGE LA 70805

Organization’s website
Organization’s email THEH2OEXPERIENCEINC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 DEBRA SPRUEL
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/1/2020

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