FORM 1023-EZ for BAYOU REGION ALZHEIMERS SERVICES
| Field | Data |
|---|---|
| EIN | 84-4246098 |
| Case Number | EO-2020034-000440 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BAYOU REGION ALZHEIMERS SERVICES |
| Organization’s Mailing Address | 169 ONTARIO STREET |
| City | HOUMA |
| State | LA |
| ZIP | 70364 |
| Accounting period End | 12 |
| Primary contact name | COURTNEY CARRERE SANFORD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
COURTNEY CARRERE SANFORD
DIRECTOR
169 ONTARIO
HOUMA LA 70364
Officer/Director/Trustee Two
JEREMY BREAUX
VICE CHAIRPERSON
183 CYPRESS VILLA
GHEENS LA 70355
Officer/Director/Trustee Three
NIKKI ROBICHAUX
TREASURER
318 N FRENCH QUARTER DRIVE
HOUMA LA 70364
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/17/2020 |
| Organization Incorporation State | LA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G83 - Alzheimer's Disease |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | COURTNEY CARRERE SANFORD |
| Signature Title | DIRECTOR |
| Signature Date | 1/31/2020 |
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