FORM 1023-EZ for GRAND CAILLOU FIREFIGHTERS ASSOCIATION

Field Data
EIN 84-3741103
Case Number EO-2019326-000396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAND CAILLOU FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 6129 GRAND CAILLOU ROAD
City HOUMA
State LA
ZIP 70363
Accounting period End 12
Primary contact name DAWN SAVOIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN BUMM
INCORPORATOR, DIRECTOR
121 FOURTH STREET
HOUMA LA 70364

Officer/Director/Trustee Two

SCOTTY BUMM
DIRECTOR
234 BAYOU FOLSE ROAD
RACELAND LA 70394

Officer/Director/Trustee Three

DAWN SAVOIE
DIRECTOR
1051 BAYOU BLUE ROAD
HOUMA LA 70364

Officer/Director/Trustee Four

HUBERT BOUDREAUX
DIRECTOR
145 ROY STREET
HOUMA LA 70360

Officer/Director/Trustee Five

NOAH BUMM
DIRECTOR
204 FRESNO DRIVE
HOUMA LA 70363

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 Yes
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 SHAWN BUMM
Signature Title INCORPORATOR, DIRECTOR
Signature Date 11/20/19

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