FORM 1023-EZ for LEAD ATCHAFALAYA

Field Data
EIN 84-4963290
Case Number EO-2020190-000131
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEAD ATCHAFALAYA
Organization’s Mailing Address 736 CHETTA LANE
City MORGAN CITY
State LA
ZIP 70380
Accounting period End 12
Primary contact name TYINNA SINGLETON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSHUA SINGLETON
PRESIDENT
4555 WESLEY DR
AUSTELL GA 30106

Officer/Director/Trustee Two

ASHA GIBSON
VICE PRESIDENT
307 ADAMS ST
MORGAN CITY LA 70380

Officer/Director/Trustee Three

CELESTE MYERS
SECRETARY
2814 SOUTH JOHNSON ST
NEW ORLEANS LA 70125

Officer/Director/Trustee Four

BRITAIN CARBINS
TREASURER
5141 PADUCAH CT
BATON ROUGE LA 70817

Officer/Director/Trustee Five

ANASTASIA SIMIEN
DIRECTOR
111 BANISTER CT APT 21122
LAFAYETTE LA 70507

Organization’s website
Organization’s email LEADATC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2019
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
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 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 JOSHUA SINGLETON
Signature Title PRESIDENT
Signature Date 7/6/2020

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