FORM 1023-EZ for TERRY C TANK HOLMES ALUMNI FUND

Field Data
EIN 82-2634766
Case Number EO-2017262-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TERRY C TANK HOLMES ALUMNI FUND
Organization’s Mailing Address 6837 LAMBERT STREET
City SHREVEPORT
State LA
ZIP 71119
Accounting period End 12
Primary contact name LEON POTTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOBBY WALDRUP
PRESIDENT
2421 SE 5TH STREET
LEE SUMMIT MO 64063

Officer/Director/Trustee Two

LEON POTTER
VICE PRESIDENT
6837 LAMBERT STREET
SHREVEPORT LA 71119

Officer/Director/Trustee Three

RICKEY WILEY
TREASUROR
21703 AMBER GRAIN LANE
CYPRESS TX 77433

Officer/Director/Trustee Four

MATTHEQ MILES
SECRETARY
311 RIVER ROAD
LAFAYETTE LA 70501

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/31/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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