FORM 1023-EZ for MOMENTS MATTER

Field Data
EIN 84-3507504
Case Number EO-2020021-000704
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOMENTS MATTER
Organization’s Mailing Address 8699 WYETH DRIVE
City DENHAM SPRINGS
State LA
ZIP 70706-8576
Accounting period End 12
Primary contact name JUDY GAUDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD MONISTERE
PRESIDENT, DIRECTOR
8699 WYETH DRI
DENHAM SPRINGS LA 70706-8576

Officer/Director/Trustee Two

KELLY SULLIVAN
SECRETARY/TREASURER
10713 SUGAR PINE DRIVE
GREENWELL SPRINGS LA 70739-5333

Officer/Director/Trustee Three

DALE KIRKINDOLL
DIRECTOR
13409 OUACHITA AVENUE
BATON ROUGE LA 70818-2824

Organization’s website
Organization’s email MOMENTSMATTER.LA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/7/2019
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHAD MONISTERE
Signature Title PRESIDENT, DIRECTOR
Signature Date 1/18/2020

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