FORM 1023-EZ for LOUISIANA ATHLETES AGAINST VIOLENCE

Field Data
EIN 83-0905428
Case Number EO-2018198-000140
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOUISIANA ATHLETES AGAINST VIOLENCE
Organization’s Mailing Address 11555 SOUTHFORK AVE APT 3066
City BATON ROUGE
State LA
ZIP 70816
Accounting period End 12
Primary contact name DONALD FUSILIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD FUSILIER
PRESIDENT, TREASURER
11555 SOUTHFORK AVE APT 3066
BATON ROUGE LA 70816

Officer/Director/Trustee Two

KENNETH ANIO JR
VICE PRESIDENT
6683 SANDY CREEK LN
ZACHARY LA 70791

Officer/Director/Trustee Three

CHRISTINA BOWSER
SECRETARY
224 SUNRISE DR
MARRERO LA 70072

Organization’s website
Organization’s email LAATHLETESAGAINSTVIOLENCE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 DONALD FUSILIER
Signature Title PRESIDENT, TREASURER
Signature Date 7/15/18

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