FORM 1023-EZ for JOEY CHUSTZ MEMORIAL FUND INC

Field Data
EIN 83-2133889
Case Number EO-2018309-000424
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JOEY CHUSTZ MEMORIAL FUND INC
Organization’s Mailing Address P O BOX 171
City LIVINGSTON
State LA
ZIP 70754-171
Accounting period End 12
Primary contact name LEROY CHUSTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEROY CHUSTZ
PRESIDENT
20695 VERMONT STREEYT
LIVINGSTON LA 70754-171

Officer/Director/Trustee Two

SUSAN CHUSTZ
DIRECTOR
20695 VERMONT STREET
LIVINGSTON LA 70754-171

Officer/Director/Trustee Three

JAMIE FELDER
TREASURER
34925 PERKINS ROAD
DENHAM SPRINGS LA 70706-1269

Officer/Director/Trustee Four

A J HEBERT
DIRECTOR
20695 VERMONT STREET
LIVINGSTON LA 70754-171

Officer/Director/Trustee Five

CAMDEN CHUSTZ
DIRECTOR
20695 VERMONT STREET
LIVINGSTON LA 70754-171

Organization’s website
Organization’s email RCHUSTZCPA@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/8/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T99 - Philanthropy, Voluntarism, and Grantmaking Foundations N.E.C.
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 LEROY CHUSTZ
Signature Title PRESIDENT
Signature Date 11/2/18

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