FORM 1023-EZ for HEART OF A CHAMPION A NON PROFIT CORPORATION

Field Data
EIN 47-4675509
Case Number EO-2015362-000073
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART OF A CHAMPION A NON PROFIT CORPORATION
Organization’s Mailing Address 417 ELLEN STREET
City AMA
State LA
ZIP 70031
Accounting period End 12
Primary contact name RHONDA BOUDREAUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

FARRELL BOUDREAUX
PRESIDENT
417 ELLEN STREET
AMA LA 70031

Officer/Director/Trustee Two

RHONDA BOUDREAUX
VICE PRESIDENT / SECRETARY
417 ELLEN STREET
AMA LA 70031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
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 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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