FORM 1023-EZ for LOUISIANA SOUTHERN BERITH DISTRICT

Field Data
EIN 82-2368891
Case Number EO-2017222-000589
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOUISIANA SOUTHERN BERITH DISTRICT
Organization’s Mailing Address 7408 W JUDGE PEREZ DR
City ARABI
State LA
ZIP 70032
Accounting period End 12
Primary contact name BYRON M CLARK EA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN DUHON
PRESIDENT
7408 W JUDGE PEREZ DR
ARABI LA 70032

Officer/Director/Trustee Two

BRUCE DAVE
VICE PRESIDENT
7720 WINDWARD CT
NEW ORLEANS LA 70128

Officer/Director/Trustee Three

CHARLES OATIS
SECRETARY
1211 JAMES ST
MORGAN CITY LA 70380

Officer/Director/Trustee Four

BYRON M CLARK
TREASURER
2005 AMES BLVD
MARRERO LA 70072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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
Signature Title
Signature Date

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