FORM 1023-EZ for CAPITAL AREA - SURVIVING THE BLEEDFOUNDATION

Field Data
EIN 83-2642126
Case Number EO-2019037-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPITAL AREA - SURVIVING THE BLEEDFOUNDATION
Organization’s Mailing Address 10225 W BROOKSIDE DR
City BATON ROUGE
State LA
ZIP 70818-5328
Accounting period End 12
Primary contact name JUSTIN ARNONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN ARNONE
PRESIDENT
10225 W BROOKSIDE DR
BATON ROUGE LA 70818-5328

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 JUSTIN ARNONE
Signature Title PRESIDENT
Signature Date 12/29/18
EIN 83-2642126
Case Number EO-2019037-000349
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAPITAL AREA - SURVIVING THE BLEED FOUNDATION
Organization’s Mailing Address 10225 W BROOKSIDE DR
City BATON ROUGE
State LA
ZIP 70818-5328
Accounting period End 12
Primary contact name JUSTIN ARNONE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN ARNONE
PRESIDENT
10225 W BROOKSIDE DR
BATON ROUGE LA 70818-5328

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - Fund Raising and/or Fund Distribution
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 JUSTIN ARNONE
Signature Title PRESIDENT
Signature Date 12/29/18

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