FORM 1023-EZ for LOUISIANA DELTA RADIO CLUB

Field Data
EIN 83-1177570
Case Number EO-2019196-000281
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOUISIANA DELTA RADIO CLUB
Organization’s Mailing Address 6019
City WEST MONROE
State LA
ZIP 71292
Accounting period End 12
Primary contact name JOSPEH HOLLAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH HOLLAND
PRESIDENT
6019 NEW NATCHITOCHES RD
WEST MONROE LA 71292

Officer/Director/Trustee Two

KEVIN THOMAS
VICE PRESIDENT
1573 BROWNLEE RD
CALHOUN LA 71255

Officer/Director/Trustee Three

CARLOS INGRAM
SECRETARY
4305 HWY 133
RAYVILLE LA 71269

Officer/Director/Trustee Four

DARREL LABLANC
TREASURER
2701 BLUE WATER LANE
MONROE LA 71201

Organization’s website KC5DR.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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 JOSEPH HOLLAND
Signature Title PRESIDENT
Signature Date 7/12/19

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