FORM 1023-EZ for TOPS LA 0527 BOSSIER

Field Data
EIN 46-1580277
Case Number EO-2016319-000283
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOPS LA 0527 BOSSIER
Organization’s Mailing Address 1700 OLD MINDEN RD SUITE 180
City BOSSIER CITY
State LA
ZIP 71111
Accounting period End 12
Primary contact name PAMELA JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA JONES
LEADER
6396 CHIPPEWA TRAIL
SHREVEPORT LA 71107

Officer/Director/Trustee Two

JANICE KRUSEMARK
CO LEADER
PO BOX 5298
BOSSIER CITY LA 71171

Officer/Director/Trustee Three

VALERIE WATTS
TREASURER
4235 HWY 527
HAUGHTON LA 71037

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2015
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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