FORM 1023-EZ for SOUTHERN IMPACT FASTPITCH SOFTBALLINC

Field Data
EIN 47-1963468
Case Number EO-2014276-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN IMPACT FASTPITCH SOFTBALLINC
Organization’s Mailing Address 1009 S AUGUSTA AVE
City GONZALES
State LA
ZIP 70737
Accounting period End 9
Primary contact name BRAD J LAVIGNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRAD LAVIGNE
CHAIRMAN
1009 S AUGUSTA AVE
GONZALES LA 70737

Officer/Director/Trustee Two

MANUEL MAY
CO CHAIRMAN
17388 LEVERN STAFFORD RD
PRAIRIEVILLE LA 70769

Officer/Director/Trustee Three

NICOLE ADAMS
TREASURER
45507 STRINGER BRIDGE RD
ST. AMANT LA 70774

Organization’s website
Organization’s email SOUTHERNIMPACTSOFTBALL2014@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/21/2014
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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