FORM 1023-EZ for LOUISIANA ICE SPORTS ASSOCIATION

Field Data
EIN 82-4938046
Case Number EO-2018170-000160
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOUISIANA ICE SPORTS ASSOCIATION
Organization’s Mailing Address 9804 OLIPHANT RD
City BATON ROUGE
State LA
ZIP 70809
Accounting period End 12
Primary contact name AMANDA H MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT STEWART
DIRECTOR
2435 HONEYSUCKLE AVE
BATON ROUGE LA 70808

Officer/Director/Trustee Two

DAVID DECARLO
DIRECTOR
9804 OLIPHANT RD
BATON ROUGE LA 70809

Officer/Director/Trustee Three

AMANDA MOSS
DIRECTOR
8037 SUPERIOR DR
DENHAM SPRINGS LA 70726

Officer/Director/Trustee Four

BARBARA GAI
DIRECTOR
1524 EVA ST
GONZALES LA 70737

Organization’s website
Organization’s email LOUISIANAICESPORTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 AMANDA MOSS
Signature Title DIRECTOR
Signature Date 6/17/18

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