FORM 1023-EZ for BAYOU NORTH AREA HEALTH EDUCATION CENTER

Field Data
EIN 81-4103548
Case Number EO-2017039-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAYOU NORTH AREA HEALTH EDUCATION CENTER
Organization’s Mailing Address 6158 WINCANTON DRIVE
City SHREVEPORT
State LA
ZIP 71129
Accounting period End 6
Primary contact name JUDY MARTINEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUDY MARTINEZ
PRESIDENT
6158 WINCANTON DRIVE
SHREVEPORT LA 71129

Officer/Director/Trustee Two

KIMBERLY KAVANAUGH
SECRETARY
401 EAST VAUGHN AVENUE
RUSTON LA 71270

Officer/Director/Trustee Three

DR MARIA HAYNES
TREASURER
192 AIRLINGTON DRIVE
HOMER LA 71040

Organization’s website
Organization’s email BNAHEC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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