FORM 1023-EZ for LAC RANGE INC

Field Data
EIN 47-2539791
Case Number EO-2015349-000287
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAC RANGE INC
Organization’s Mailing Address 1427 FINKS HIDEAWAY RD
City MONROE
State LA
ZIP 71203
Accounting period End 12
Primary contact name CAROL SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARDNER SMITH
PRESIDENT
1427 FINKS HIDEAWAY RD
MONROE LA 71203

Officer/Director/Trustee Two

CHASE SMITH
VICE-PRESIDENT
1427 FINKS HIDEAWAY RD
MONROE LA 71203

Officer/Director/Trustee Three

CAROL SMITH
SECRETARY TREASURER
1427 FINKS HIDEAWAY RD
MONROE LA 71203

Officer/Director/Trustee Four

VERNON BRADLEY
DIRECTOR
434 RITTAR RD
MONROE LA 71225

Officer/Director/Trustee Five

BRYAN BOUDREAUX
DIRECTOR
107 CLEO RD
MONROE LA 71202

Organization’s website
Organization’s email CAROL@LACRANGE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/2015
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
Signature Title
Signature Date

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