FORM 1023-EZ for ALZHEIMERS SERVICES OF ACADIANA INC

Field Data
EIN 84-2469153
Case Number EO-2019270-000139
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALZHEIMERS SERVICES OF ACADIANA INC
Organization’s Mailing Address 806 WATERVIEW RD
City YOUNGSVILLE
State LA
ZIP 70592
Accounting period End 12
Primary contact name TASHA DUGAE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TASHA DUGAS
DIRECTOR
806 WATERVIEW RD
YOUNGSVILLE LA 70592

Officer/Director/Trustee Two

DEBRA SAVOIE
DIRECTOR
815 BEVERLY ST
NEW IBERIA LA 70560

Officer/Director/Trustee Three

ANGELA SMOTHERS
DIRECTOR
406 KATHRYN ST
NEW IBERIA LA 70560

Officer/Director/Trustee Four

KOURTNI VIATOR
DIRECTOR
104 WILLIAMS ST
NEW IBERIA LA 70560

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G83 - Alzheimer's Disease
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name TASHA DUGAS
Signature Title DIRECTOR
Signature Date 9/25/19

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