FORM 1023-EZ for PHILLIP POPPA DAUTERIVE III FOUNDATION

Field Data
EIN 84-3163018
Case Number EO-2019277-000896
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHILLIP POPPA DAUTERIVE III FOUNDATION
Organization’s Mailing Address 2016 TERRACE ROAD
City ST MARTINVILLE
State LA
ZIP 70582
Accounting period End 12
Primary contact name LEAH GERARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEAH GERARD
PRESIDENT
2016 TERRACE ROAD
ST MARTINVILLE LA 70582

Officer/Director/Trustee Two

PHILLIP DAUTERIVE
SECRETARY/TREASURY
2016 TERRACE RD
ST MARTINVILLE LA 70582

Officer/Director/Trustee Three

KIMBERLY DAUTERIVE
VICE PRESIDENT
2016 TERRACE RD
ST MARTINVILLE LA 70582

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M01 - Alliance/Advocacy Organizations
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 KIMBERLY DAUTERIVE
Signature Title VICE PRESIDENT
Signature Date 10/2/19

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