FORM 1023-EZ for SALT FIVE 13

Field Data
EIN 86-3711200
Case Number EO-2021131-000133
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALT FIVE 13
Organization’s Mailing Address 2701 MAIN STREET
City LAPLACE
State LA
ZIP 70068-5805
Accounting period End 12
Primary contact name ADRIANNA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADRIANNA WILLIAMS
PRESIDENT
2701 MAIN STREET
LAPLACE LA 70068-5805

Officer/Director/Trustee Two

TORI HOWZE
TREASURER
4541 GENERAL EARLY DRIVE
NEW ORLEANS LA 70126-4719

Officer/Director/Trustee Three

NAOMI KIM
SECRETARY
700 CAMP STREET
NEW ORLEANS LA 70130-3702

Organization’s website
Organization’s email ADRI.JACE@ICLOUD.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2021
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 ADRIANNA WILLIAMS
Signature Title PRESIDENT
Signature Date 5/7/2021

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