FORM 1023-EZ for ST BERNARD RECOVERY AWARENES

Field Data
EIN 83-1527431
Case Number EO-2019115-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ST BERNARD RECOVERY AWARENES
Organization’s Mailing Address 2300 LEGEND DR
City MERAUX
State LA
ZIP 70075
Accounting period End 6
Primary contact name ROBERT FEZEKAS II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT FEZEKAS II
PRESIDENT
2905 JACKSON BLVD
CHALMETTE LA 70043

Officer/Director/Trustee Two

JACK LAFITTE
VICE PRESIDENT
8409 MAIN DR
CHALMETTE LA 70043

Officer/Director/Trustee Three

JAMES TERLUIN
SECRETARY
2300 LEGEND DR
MERAUX LA 70043

Officer/Director/Trustee Four

TIA SERIGNE
TREASURER
2809 DEER CREEK
VIOLET LA 70092

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, Multipurpose
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 Yes
Donation of funds Yes
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 ROBERT FEZEKAS II
Signature Title PRESIDENT
Signature Date 4/23/19

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