FORM 1023-EZ for FOAM

Field Data
EIN 82-1213929
Case Number EO-2020282-000243
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOAM
Organization’s Mailing Address 2959 MADISON AVE
City BATON ROUGE
State LA
ZIP 70802
Accounting period End 12
Primary contact name LEVAR ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEVAR ROBINSON
PRESIDENT
22840 ADIAN
PLAQUEMINE LA 70764

Officer/Director/Trustee Two

KAREN SCOTT
VICE PRESIDENT
22715 BLAKENEY DR
PLAQUEMINE LA 70764

Officer/Director/Trustee Three

BRANDI RUSSELL
TREASURER
9387 PECAN TREE DR
BATON ROUGE LA 70810

Officer/Director/Trustee Four

SHAHIDAH RAHMAN
SECRETARY
1964 BARKWOOD AVE
BATON ROUGE LA 70816

Officer/Director/Trustee Five

LLOYD BENSON
BOARD MEMBER
PO BOX 477
BATON ROUGE LA 70821

Organization’s website WWW.FATHERSONAMISSION.COM
Organization’s email FOAMBR2020@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LEVAR ROBINSON
Signature Title PRESIDENT
Signature Date 10/6/2020
EIN 82-1213929
Case Number EO-2017114-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name F O A M
Organization’s Mailing Address 2959 MADISON AVE
City BATON ROUGE
State LA
ZIP 70802
Accounting period End 12
Primary contact name LEVAR ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEVAR ROBINSON
PRESIDENT
2959 MADISON AVE
BATON ROUGE LA 70802

Officer/Director/Trustee Two

LEVAR ROBINSON
VICE PRESIDENT
2959 MADISON AVE
BATON ROUGE LA 70802

Officer/Director/Trustee Three

LEVAR ROBINSON
SECRETARY
2959 MADISON AVE
BATON ROUGE LA 70802

Officer/Director/Trustee Four

LEVAR ROBINSON
TREASURER
2959 MADISON AVE
BATON ROUGE LA 70802

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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
Signature Title
Signature Date

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