FORM 1023-EZ for THE BROOM TREE

Field Data
EIN 83-2823475
Case Number EO-2019036-000674
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BROOM TREE
Organization’s Mailing Address 493 BURMA RD
City BALL
State LA
ZIP 71405
Accounting period End 12
Primary contact name CHALLIE MERCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALEXA ASHWORTH
TREASURER
298 TANNER DR
GLENMORA LA 71433

Officer/Director/Trustee Two

AMY CHANDLER
SECRETARY
5947 WANDA TRAIL
BALL LA 71405

Officer/Director/Trustee Three

RHONDA FOSTER
DIRECTOR
6698 DONAHUE FERRY
PINEVILLE LA 71360

Officer/Director/Trustee Four

DANA GUIRLANDO
OFFICER
135 SUSAN DR
BALL LA 71405

Officer/Director/Trustee Five

CHALLIE MERCER
FOUNDER, DIRECTOR
493 BURMA RD
BALL LA 71405

Organization’s website
Organization’s email THEBROOMTREE2018@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/8/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHALLIE MERCER
Signature Title FOUNDER, DIRECTOR
Signature Date 1/20/19

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