FORM 1023-EZ for MATER DOLOROSA KAYCEE AUXILIARY

Field Data
EIN 84-4070544
Case Number EO-2019361-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MATER DOLOROSA KAYCEE AUXILIARY
Organization’s Mailing Address 530505 CROSSOVER ROAD
City INDEPENDENCE
State LA
ZIP 70443
Accounting period End 12
Primary contact name JAY J RABALAIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA ALESSI
DIRECTOR
530505 CROSSOVER ROAD
INDEPENDENCE LA 70443

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2019
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 Yes
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 CYNTHIA ALESSI
Signature Title DIRECTOR
Signature Date 12/23/2019

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