FORM 1023-EZ for PURPLE IRIS COMMUNITY HOMES

Field Data
EIN 38-4021048
Case Number EO-2017233-000356
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PURPLE IRIS COMMUNITY HOMES
Organization’s Mailing Address 6909 SUMRALL DR
City BATON ROUGE
State LA
ZIP 70812
Accounting period End 12
Primary contact name CAMILLE D CHRISHON DOUCETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAMILLE CHRISHON DOUCETTE
EXECUTIVE DIRECTOR/PRESIDENT
6909 SUMRALL DR
BATON ROUGE LA 70812

Officer/Director/Trustee Two

DELORES ANDREWS
VICE PRESIDENT TREASURER
6909 SUMRALL DR
BATON ROUGE LA 70812

Officer/Director/Trustee Three

ALBERT ANDREWS
SECRETARY
6909 SUMRALL DR
BATON ROUGE LA 70812

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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