FORM 1023-EZ for FAMILY PRESERVATION DRUG-RECOVERY PROGRAM

Field Data
EIN 82-0758322
Case Number EO-2017165-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY PRESERVATION DRUG-RECOVERY PROGRAM
Organization’s Mailing Address 204 MELROSE DRIVE
City THIBODAUX
State LA
ZIP 70301
Accounting period End 12
Primary contact name MARCIA ARCENEAUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCIA ARCENEAUX
PRESIDENT
204 MELROSE DRIVE
THIBODAUX LA 70301

Officer/Director/Trustee Two

GARY ARCENEAUX
SECRETARY / TREASURER
204 MELROSE DRIVE
THIBODAUX LA 70301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Gaming Activity No
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
Signature Title
Signature Date

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