FORM 1023-EZ for HAND UP COMMUNITY SERVICE AGENCY

Field Data
EIN 84-5105561
Case Number EO-2020184-000357
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAND UP COMMUNITY SERVICE AGENCY
Organization’s Mailing Address 220 W LOUISIANA AVENUE
City VIVIAN
State LA
ZIP 71082-2820
Accounting period End 12
Primary contact name ETHEL JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERIA SHEPARD
PRESIDENT
1319 O FARRELL DRIVE
ATLANTA TX 75551-3021

Officer/Director/Trustee Two

SANDRA DENNIS
VICE PRESIDENT
509 CHRISTIAN STREET
VIVIAN LA 71802-2820

Officer/Director/Trustee Three

TRAVISTINE JOHNSON
SECRETARY-TREASURER
3559 MC4
DODDRIDGE AR 71834-1529

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2020
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
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 SANDRA DENNIS
Signature Title VICE PRESIDENT
Signature Date 6/30/2020

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