FORM 1023-EZ for FOUR RIVERS COMMUNITY FOUNDATION

Field Data
EIN 81-1035234
Case Number EO-2016028-000282
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUR RIVERS COMMUNITY FOUNDATION
Organization’s Mailing Address 1300 4TH STREET
City JONESVILLE
State LA
ZIP 71343
Accounting period End 12
Primary contact name BETTY GAITHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBBIE WILLSON
PRESIDENT
1218 PLUM STREET
VIDALIA LA 71373

Officer/Director/Trustee Two

BETTY GAITHER
MEMBER-AT-LARGE
14625 HWY 124
JONESVILLE LA 71343

Officer/Director/Trustee Three

MARY EDWARDS
VICE PRESIDENT
1300 4TH STREET
JONESVILLE LA 71343

Officer/Director/Trustee Four

JACKIE ROUSE
SECRETARY
2805 4TH STREET
JONESVILLE LA 71343

Officer/Director/Trustee Five

LORA WHITE
TREASURER
15724
JONESVILLE LA 71343

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/4/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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