FORM 1023-EZ for A D WASHINGTON SERVICE CENTER

Field Data
EIN 83-3515387
Case Number EO-2019073-000445
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name A D WASHINGTON SERVICE CENTER
Organization’s Mailing Address 807 5TH STREET
City SPRINGHILL
State LA
ZIP 71075
Accounting period End 3
Primary contact name DORIS J WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CATHY BELL COLEMAN
OFFICER
1048 3RD STREET
SPRINGHILL LA 71075-3829

Officer/Director/Trustee Two

DOUGLAS CURRY
DIRECTOR
412 MOORE ST
SPRINGHILL LA 71075-3829

Officer/Director/Trustee Three

BELINDA HILL
OFFICER
600 MOORE ST
SPRINGHILL LA 71075-3829

Officer/Director/Trustee Four

ODELL WASHINGTON
DIRECTOR
810 5TH STREET
SPRNGHILL LA 71075-3829

Officer/Director/Trustee Five

DORIS WRIGHT
DIRECTOR/OFFICER
1107 3RD STREET SW
SPRINGHILL LA 71075-3829

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/19
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 Yes
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 ODELL WASHINGTON
Signature Title DIRECTOR
Signature Date 3/12/19

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