FORM 1023-EZ for MY LEG MY CHOICE FOUNDATION INC

Field Data
EIN 45-5399330
Case Number EO-2016271-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY LEG MY CHOICE FOUNDATION INC
Organization’s Mailing Address 3639 AMBASSADOR CAFFERY PKWY SUITE
City LAFAYETTE
State LA
ZIP 70503
Accounting period End 12
Primary contact name DANA RIGDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA RIGDON
DIRECTOR
3639 AMBASSADOR CAFFERY PKWY ST 605
LAFAYETTE LA 70503

Officer/Director/Trustee Two

JOEY FONTENOT
DIRECTOR
225 DUNN ST
HOUMA LA 70360

Officer/Director/Trustee Three

CRAIG WALKER
DIRECTOR
225 DUNN ST
HOUMA LA 70360

Organization’s website WWW.MYLEGMYCHOICE.ORG
Organization’s email INFO@MYLEGMYCHOICE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2012
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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