FORM 1023-EZ for LOUISIANA AIDS ADVOCACY NETWORK INC

Field Data
EIN 81-1433741
Case Number EO-2016105-000291
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOUISIANA AIDS ADVOCACY NETWORK INC
Organization’s Mailing Address 2020 CENTENARY BLVD
City SHREVEPORT
State LA
ZIP 71104
Accounting period End 12
Primary contact name JOSHUA HOLMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DARLENE ROBERTSON
PRESIDENT
108 CORINNE ST
PORT BARRE LA 70577

Officer/Director/Trustee Two

JOSHUA HOLMES
SECRETARY
3633 HAVANA ST
NEW ORLEANS LA 70122

Officer/Director/Trustee Three

CHIP EAKINS
VICE PRESIDENT
3814 GILBERT DR UNIT B
SHREVEPORT LA 70114

Officer/Director/Trustee Four

JACK CARROL
DIRECTOR
321 AIELLO DR
BATON ROUGE LA 70806

Officer/Director/Trustee Five

SERGIO FARFAN
DIRECTOR
3229 CARLOTTA ST
BATON ROUGE LA 70802

Organization’s website WWW.LAANWEB.ORG
Organization’s email INFO@LAANWEB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G81 - AIDS
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 Yes
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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