FORM 1023-EZ for MAGNOLIA HOUSE OF LOUISIANA

Field Data
EIN 86-3090882
Case Number EO-2021154-000340
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAGNOLIA HOUSE OF LOUISIANA
Organization’s Mailing Address 10555 FOSTER ROAD
City BATON ROUGE
State LA
ZIP 70811
Accounting period End 12
Primary contact name KWOUSKA LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KWOUSKA LEE
DIRECTOR -PRESIDENT
10555 FOSTER ROAD
BATON ROUGE LA 70811

Officer/Director/Trustee Two

MYRON DANIELS
VICE PRESIDENT
3836 MONTICELLO BLVD
BATON ROUGE LA 70814

Officer/Director/Trustee Three

LORENZO COLEMAN
TREASURER
13255 HODGES DRIVE
GEISMAR LA 70734

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2021
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 KWOUSKA LEE
Signature Title DIRECTOR -PRESIDENT
Signature Date 6/1/2021

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