FORM 1023-EZ for ENCOUNTER AT LOUISIANA STATE UNIVERSITY AND AM COLLEGE

Field Data
EIN 82-1226510
Case Number EO-2017151-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENCOUNTER AT LOUISIANA STATE UNIVERSITY AND AM COLLEGE
Organization’s Mailing Address 302 FAIRFIELD DR
City THIBODAUX
State LA
ZIP 70301-9501
Accounting period End 12
Primary contact name TABITHA KEARNS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TABITHA KEARNS
PRESIDENT
302 FAIRFIELD DR
THIBODAUX LA 70301-3722

Officer/Director/Trustee Two

JOSHUA CASKEY
VICE PRESIDENT
1004 MALLARD BEND
BOSSIER CITY LA 71111-6705

Officer/Director/Trustee Three

MATTHEW CHERAMIE
SECRETARY
212 BETHANY DR
LULING LA 70070-3083

Officer/Director/Trustee Four

ESTELLE SEGHERES
TREASURER
1102 IBERVILLE DR
OCEAN SPRINGS MS 39564-2922

Officer/Director/Trustee Five

FLORENCIA SCAGLIA DRUSINI
DIRECTOR OF SERVICE
110 TURNMILL DR
BROUSSARD LA 70518-7746

Organization’s website ENCOUNTERLSU.WORDPRESS.COM
Organization’s email ENCOUNTER.LSU@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 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
Signature Title
Signature Date

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