FORM 1023-EZ for WHO OF NORTH WEBSTER

Field Data
EIN 47-2484262
Case Number EO-2015092-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHO OF NORTH WEBSTER
Organization’s Mailing Address 315 CROW LAKE RD
City SAREPTA
State LA
ZIP 71071
Accounting period End 12
Primary contact name CASEY WARFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CASEY WARFORD
DIRECTOR
315 CROW LAKE RD
SAREPTA LA 71071

Officer/Director/Trustee Two

KRISTEN FRANKS
DIRECTOR
1035 PERCY BURNS RD
SPRINGHILL LA 71075

Officer/Director/Trustee Three

JENNIFER RADAR
DIRECTOR
120 RADER ROAD
SPRINGHILL LA 71075

Officer/Director/Trustee Four

CANDACE SLACK
DIRECTOR
940 PLAIN DEALING RD
SPRINGHILL LA 71075

Officer/Director/Trustee Five

LESLIE WILSON
DIRECTOR
21 COLUMBIA 224
TAYLOR AR 71861

Organization’s website N/A
Organization’s email WHOOFNORTHWEBSTER@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/16/2014
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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
Signature Title
Signature Date

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