FORM 1023-EZ for NWLA MAKERSPACE

Field Data
EIN 81-3475113
Case Number EO-2016323-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NWLA MAKERSPACE
Organization’s Mailing Address 630 BARKSDALE BLVD
City BOSSIER CITY
State LA
ZIP 71111
Accounting period End 6
Primary contact name ROBIN JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEMETRIUS NORMAN
PRESIDENT
2921 WEST LAUREL ST
SHREVEPORT LA 71109-2329

Officer/Director/Trustee Two

BRITTNEY HAZELTON
VICE PRESIDENT
12465 RUST LN
KEITHVILLE LA 71047-9511

Officer/Director/Trustee Three

ROBIN JONES
TREASURER
439 FOREST AVE
SHREVEPORT LA 71104-4401

Officer/Director/Trustee Four

HEIDI DAIGLE
SECRETARY
12465 RUST LANE
KEITHVILLE LA 71047-9511

Organization’s website NWLAMAKERSPACE.ORG
Organization’s email NWLAMAKERSPACE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2016
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
Organization’s purpose Charitable: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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