FORM 1023-EZ for LOUISIANA HISTORICAL CAPITOL FOUNDATION

Field Data
EIN 86-3399485
Case Number EO-2021132-000266
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOUISIANA HISTORICAL CAPITOL FOUNDATION
Organization’s Mailing Address 9270 SIEGEN LANE SUITE 801
City BATON ROUGE
State LA
ZIP 70810
Accounting period End 12
Primary contact name JASON DECUIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAY SCHEXNAYDER
PRESIDENT DIRECTOR
40270 PELICAN POINT PARKWAY
GONZALES LA 70737

Officer/Director/Trustee Two

PATRICK CORTEZ
SECRETARY DIRECTOR
700 PICARD STREET
LAFAYETTE LA 70508

Officer/Director/Trustee Three

TANNER MAGEE
TREASURER DIRECTOR
312 CENTRAL AVENUE
HOUMA LA 70364

Officer/Director/Trustee Four

BETH MIZELL
OFFICER
19208 SAM VARNADO ROAD
FRANKLINTON LA 70438

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2021
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
Organization’s purpose Charitable: Yes
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 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 CLAY SCHEXNAYDER
Signature Title PRESIDENT DIRECTOR
Signature Date 5/10/2021

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