FORM 1023-EZ for CAJUN NAVY SUPPLY INC

Field Data
EIN 82-2806287
Case Number EO-2017262-000167
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAJUN NAVY SUPPLY INC
Organization’s Mailing Address 688 ALPINE WAY
City IDAHO SPRINGS
State CO
ZIP 80452
Accounting period End 12
Primary contact name JASON CANON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON CANON
PRESIDENT
688 ALPINE WAY
IDAHO SPRINGS CO 80452

Officer/Director/Trustee Two

JESSICA BROUGHTON
VICE PRESIDENT/ SECRETARY
104 LILLIIAN ST
BOSSIER CITY LA 71111

Organization’s website WWW.CAJUNNAVYSUPPLY.ORG
Organization’s email JESSY@CAJUNNAVYSUPPLY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/13/2017
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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
Signature Title
Signature Date

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