FORM 1023-EZ for ADAMS INSTITUTE

Field Data
EIN 81-1116130
Case Number EO-2017293-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADAMS INSTITUTE
Organization’s Mailing Address 2205 REPOSE ST
City VIOLET
State LA
ZIP 70092
Accounting period End 12
Primary contact name MARK G WALTERS JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK G WALTERS JR
PRESIDENT
2205 REPOSE ST
VIOLET LA 70092

Organization’s website
Organization’s email THEADAMSINSTITUTE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J30 - Vocational Rehabilitation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 Yes
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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