FORM 1023-EZ for WESTSIDE SPORTSMAN

Field Data
EIN 83-4688843
Case Number EO-2019169-000211
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WESTSIDE SPORTSMAN
Organization’s Mailing Address 24500 PECAN POINTE DRIVE
City PLAQUEMINE
State LA
ZIP 70764
Accounting period End 12
Primary contact name BRADLEY GUERIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY GUERIN
PRESIDENT
24500 PECAN POINTE DRIVE
PLAQUEMINE LA 70764

Officer/Director/Trustee Two

MARK COMEAUX
DIRECTOR
23940 FLORENCE DRIVE
PLAQUEMINE LA 70764

Officer/Director/Trustee Three

SHANNON LEBLANC
TREASURER
4372 TRAIL DRIVE
ADDIS LA 70710

Officer/Director/Trustee Four

LAUREN COMEAUX
SECRETARY
23940 FLORENCE DRIVE
PLAQUEMINE LA 70764

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 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 BRADLEY GUERIN
Signature Title PRESIDENT
Signature Date 6/13/19

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