FORM 1023-EZ for THE SKATEPARK OF LAFAYETTE NON-PROFIT

Field Data
EIN 83-0532403
Case Number EO-2019148-000377
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SKATEPARK OF LAFAYETTE NON-PROFIT
Organization’s Mailing Address 11 TRILLIUM TRIANGLE
City LAFAYETTE
State LA
ZIP 70507
Accounting period End 12
Primary contact name JASIN MUFFOLETTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASIN MUFFOLETTO
PRESIDENT
11 TRILLIUM TRIANGLE
LAFAYETTE LA 70507

Officer/Director/Trustee Two

CHARLIE THOMAS
VICE PRESIDENT
103 CLEOPATRA LANE
YOUNGSVILLE LA 70592

Officer/Director/Trustee Three

GABRIEL ANDRADE
TREASURER
309 SAINT LOUIS STREET
LAFAYETTE LA 70506

Officer/Director/Trustee Four

BRIAN FOURNET II
SECRETARY
1318 LEE AVENUE
LAFAYETTE LA 70506

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 JASIN MUFFOLETTO
Signature Title PRESIDENT
Signature Date 5/23/19

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