FORM 1023-EZ for LEADERSHIP NORTHSHORE INC

Field Data
EIN 36-4612732
Case Number EO-2017075-000573
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEADERSHIP NORTHSHORE INC
Organization’s Mailing Address P O BOX 2264
City SLIDELL
State LA
ZIP 70459
Accounting period End 12
Primary contact name JOEL J BRUNO JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES KEPFLER
CHAIRMAN
P O BOX 2264
SLIDELL LA 70459

Officer/Director/Trustee Two

MICHAEL TASSIN
VICE CHAIRMAN
P O BOX 2264
SLIDELL LA 70459

Officer/Director/Trustee Three

JACOB BOLIN
TREASURER
P O BOX 2264
SLIDELL LA 70459

Officer/Director/Trustee Four

MICHELE BOND
SECRETARY
P O BOX 2264
SLIDELL LA 70459

Officer/Director/Trustee Five

CHERI CARTER
EX DIRECTOR
P O BOX 2264
SLIDELL LA 70459

Organization’s website LEADERSHIPNORTHSHORE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2007
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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