FORM 1023-EZ for COOK FAMILY ASSOCIATION

Field Data
EIN 46-4837166
Case Number EO-2019030-000871
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COOK FAMILY ASSOCIATION
Organization’s Mailing Address 1003 LE TRIOMPHE PKWY
City BROUSSARD
State LA
ZIP 70518
Accounting period End 12
Primary contact name KEVIN COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN COOK
DIRECTOR
1003 LE TRIOMPHE PARKWAY
BROUSSARD LA 70518

Officer/Director/Trustee Two

TONYA COOK
DIRECTOR
1003 LE TRIOMPHE PARKWAY
BROUSSARD LA 70518

Officer/Director/Trustee Three

ERIC SMITH
DIRECTOR
224 RUE BEAUREGARD
LAFAYETTE LA 70508

Organization’s website
Organization’s email KEVINACOOK@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/14/14
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN COOK
Signature Title DIRECTOR
Signature Date 12/27/18
EIN 46-4837166
Case Number EO-2014262-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COOK FAMILY ASSOCIATION
Organization’s Mailing Address 1003 LE TRIOMPHE PKWY
City BROUSSARD
State LA
ZIP 70518
Accounting period End 12
Primary contact name KEVIN COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC SMITH
MEMBER
234 RUE BEAUREGARD STE 200
LAFAYETTE LA 70508

Officer/Director/Trustee Two

KEVIN COOK
MEMBER
1003 LE TRIOMPHE PKWY
BROUSSARD LA 70518

Officer/Director/Trustee Three

TONYA COOK
MEMBER
1003 LE TRIOMPHE PKWY
BROUSSARD LA 70518

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2014
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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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