FORM 1023-EZ for VANCLEAVE LIVE OAK CHOCTAW

Field Data
EIN 46-3568769
Case Number EO-2015317-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VANCLEAVE LIVE OAK CHOCTAW
Organization’s Mailing Address PO BOX 6042
City VANCLEAVE
State MS
ZIP 39565
Accounting period End 12
Primary contact name WILLIAM TERRY LADNIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIAM LADNIER
OFFICER
11201 BRUSHY LANE
VANCLEAVE MS 39565-8827

Officer/Director/Trustee Two

DONALD REGISTER
TRIBAL COUNCIL MEMBER
3115 PERIWINKLE COVE
GAUTIER MS 39553-7142

Officer/Director/Trustee Three

JIMMY ELY
TRIBAL COUNCIL MEMBER
14638 LOW POINT ROAD
39565-8827 MS 39565-8827

Officer/Director/Trustee Four

RONALD WALTMAN
TRIBAL COUNCIL MEMBER
6601 PINE BURR DRIVE
39565-8827 MS 39565-8827

Officer/Director/Trustee Five

PATTY WILLIAMS
TRIBAL COUNCIL MEMBER
9009 RCHWOOD ROAD
39565-8827 MS 39565-8827

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2015
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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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