FORM 1023-EZ for LOUISIANA CARES - DISASTER RELIEF

Field Data
EIN 82-2737665
Case Number EO-2017257-000107
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOUISIANA CARES - DISASTER RELIEF
Organization’s Mailing Address 8691 MARTIN ROY RD
City JENNINGS
State LA
ZIP 70546
Accounting period End 12
Primary contact name JAMES MOSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES MOSS
SECRETARY/TREASURER
8691 MARTIN ROY RD
JENNINGS LA 70546

Officer/Director/Trustee Two

CHAD RICHARD
PRESIDENT
2184 3RD ST
LAKE ARTHUR LA 70549

Officer/Director/Trustee Three

AMBER BREAUX
VICE PRESIDENT
3321 EVANGELINE HWY
JENNINGS LA 70546

Organization’s website
Organization’s email JAMES.MOSS2112@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/2017
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief 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 No
Disaster relief assistance Yes
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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