FORM 1023-EZ for GULF STATES PGA GOLF FOUNDATION INC

Field Data
EIN 84-2901290
Case Number EO-2021085-001218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GULF STATES PGA GOLF FOUNDATION INC
Organization’s Mailing Address 3115 6TH STREET
City METAIRIE
State LA
ZIP 70002
Accounting period End 12
Primary contact name ROBERT BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM DORMAN
PRESIDENT
2011 US-84
LAUREL MS 39440

Officer/Director/Trustee Two

MARIE GATELEY
VICE PRESIDENT
8551 JEFFERSON HWY
BATON ROUGE LA 70809

Officer/Director/Trustee Three

GAMON MANNE
SECRETARY
18400 BLVD LOUISIANE
BATON ROUGE LA 70810

Officer/Director/Trustee Four

JT CRAWFORD
DIRECTOR
5024 PONTCHARTRAIN BLVD
NEW ORLEANS LA 70118

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2019
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S11 - Single Organization Support
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 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 JIM DORMAN
Signature Title PRESIDENT
Signature Date 2/6/2021

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