FORM 1023-EZ for KNOCK OUT MS FOUNDATION

Field Data
EIN 86-2549230
Case Number EO-2021104-000842
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KNOCK OUT MS FOUNDATION
Organization’s Mailing Address 1131 LOURAY DRIVE
City BATON ROUGE
State LA
ZIP 70808
Accounting period End 12
Primary contact name CHRISTINA CARVILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA CARVILLE
DIRECTOR
1131 LOURAY DIRVE
BATON ROUGE LA 70808

Officer/Director/Trustee Two

CASEY CARVILLE
DIRECTOR
1131 LOURAY DRIVE
BATON ROUGE LA 70808

Officer/Director/Trustee Three

NANCY BALDWIN
DIRECTOR
1335 KNOTTAWAY DRIVE
ST. GABRIEL LA 70776

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2021
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 CASEY CARVILLE
Signature Title DIRECTOR
Signature Date 4/11/2021

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