FORM 1023-EZ for 100 MEN OF SHREVEPORT

Field Data
EIN 72-1264003
Case Number EO-2018234-000244
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 100 MEN OF SHREVEPORT
Organization’s Mailing Address 4137 WALLER DRIVE
City SHREVEPORT
State LA
ZIP 71119
Accounting period End 6
Primary contact name RICKEY CARTHON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICKEY CARTHON
CEO
4137 WALLER DRIVE
SHREVEPORT LA 71119

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/96
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name RICKEY CARTHON
Signature Title CEO
Signature Date 8/20/18

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