FORM 1023-EZ for MEN OF THE IMMACULATA INC

Field Data
EIN 82-1342483
Case Number EO-2017121-000293
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEN OF THE IMMACULATA INC
Organization’s Mailing Address 2250 MAIN ST
City BATON ROUGE
State LA
ZIP 70802
Accounting period End 12
Primary contact name J H CAMPBELL JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HUNTER HARDIN
CHAIRMAN
4570 BLUEBONNET BLVD
BATON ROUGE LA 70809

Officer/Director/Trustee Two

MARK HERMAN
VICE CHAIRMAN
4675 INNISWOLD
BATON ROUGE LA 70809

Officer/Director/Trustee Three

JOSEPH CAMPBELL
DIRECTOR
3915 BERKLEY HILLS AVE
BATON ROUGE LA 70809

Officer/Director/Trustee Four

MATTHEW CHUSTZ
DIRCETOR
447 WESTWOOD BLVD
PORT ALLEN LA 70767

Officer/Director/Trustee Five

DAVID DAWSON
DIRECTOR
11924 SUNRAY AVE
BATON ROUGE LA 70816

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
Organization’s purpose Charitable: No
Religious: Yes
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 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
Signature Title
Signature Date

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