FORM 1023-EZ for SAMARITIN HOUSE LLC

Field Data
EIN 36-4843258
Case Number EO-2019242-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMARITIN HOUSE LLC
Organization’s Mailing Address P O BOX 614
City BENTLEY
State LA
ZIP 71407-614
Accounting period End 12
Primary contact name SUE EZNACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELBERT CATES
PRESIDENT
428 DONNA DRIVE
PINEVILLE LA 71360-2814

Officer/Director/Trustee Two

JOE LAZARONE
VICE-PRESIDENT
225 MUNDY LOOP
COLFAX LA 71417-6024

Officer/Director/Trustee Three

SUE EZNACK
TREASURER
160 SHERMAN LAIRD RD
BENTLEY LA 71407-296

Officer/Director/Trustee Four

EDITH CANOE
SECRETARY
915 RACETRACK RD
BENTLEY LA 71407-2820

Officer/Director/Trustee Five

SHIRLEY CANOE
BOARD MEMBER
430 LONE PINE RD
BENTLEY LA 71407-2707

Organization’s website
Organization’s email SAMARITINHOUSEGP@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/16
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SUE EZNACK
Signature Title TREASURER
Signature Date 8/28/19
EIN 36-4843258
Case Number EO-2016251-000380
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAMARITAN HOUSE
Organization’s Mailing Address 614
City BENTLEY
State LA
ZIP 71407
Accounting period End 12
Primary contact name SUE EZNACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELBERT CATES
PRESIDENT
428 DONNA DR
PINEVILLE LA 71360

Officer/Director/Trustee Two

RON DENMON
VICE-PRESIDENT
122 OAK GROVE CHURCH RD
BENTLEY LA 71407

Officer/Director/Trustee Three

SUE EZNACK
TREASURER/DIRECTOR
160 SHERMAN LAIRD RD
BENTLEY LA 71407

Officer/Director/Trustee Four

EDITH CANOE
SECRETARY/ ASSIT-DIRECTOR
915 RACETRACK RD
BENTLEY LA 71407

Organization’s website
Organization’s email SAMARITANHOUSEGP@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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
Signature Title
Signature Date

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