FORM 1023-EZ for BRUSLY DIAMOND CLUB

Field Data
EIN 84-3617625
Case Number EO-2019343-000323
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BRUSLY DIAMOND CLUB
Organization’s Mailing Address 3663 ALLENE ST BRUSLY LA 70719
City BRUSLY
State LA
ZIP 70719
Accounting period End 12
Primary contact name MARIE BRAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHETT FRIOUX
PRESIDENT
3663 ALLENE ST
BRUSLY LA 70719

Officer/Director/Trustee Two

GASTON DAIGLE
VICE PRESIDENT
336 QUIET OAK BLVD
BRUSLY LA 70719

Officer/Director/Trustee Three

TODD DEXTER
TREASURER
2127 ALLENE ST
BRUSLY LA 70719

Officer/Director/Trustee Four

CHRIS ENGLADE
DIRECTOR
5702 HORNER DR
PORT ALLEN LA 70767

Organization’s website
Organization’s email BRUSLYDIAMONDCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2019
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RHETT FRIOUX
Signature Title PRESIDENT
Signature Date 12/5/2019

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