FORM 1023-EZ for CHI EPSILON - LOUISIANA STATE UNIVERSITY

Field Data
EIN 72-6041413
Case Number EO-2017289-000512
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHI EPSILON - LOUISIANA STATE UNIVERSITY
Organization’s Mailing Address BOX 19316
City ARLINGTON
State TX
ZIP 76019-0316
Accounting period End 2
Primary contact name GLENN C GOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MADELINE BERRY
TREASURER
2403 BRIGHTSIDE DR
BATON ROUGE LA 70820

Officer/Director/Trustee Two

GLENN GOSS
EXECUTIVE SECRETARY
BOX 19316
ARLINGTON TX 70619-0316

Officer/Director/Trustee Three

CLAIRE LIKE
VICE PRESIDENT
3304 PATRICK TAYLOR HALL
BATON ROUGE LA 70803

Organization’s website
Organization’s email XEHQ@CHI-EPSILON.ORG
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/1968
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B83 - Student Sororities, Fraternities
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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