FORM 1023-EZ for NEW FAMILY LIFE FOUNDATION

Field Data
EIN 30-0698931
Case Number EO-2019029-000763
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW FAMILY LIFE FOUNDATION
Organization’s Mailing Address 4534 EUGENE WARE BLVD
City BASTROP
State LA
ZIP 71220
Accounting period End 12
Primary contact name OTIS BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

OTIS BROWN
PRESIDENT/C.E.O.
2914 WEST CAVETT DR
SHREVEPORT LA 71104

Officer/Director/Trustee Two

ALESIA BROWN
CHIEF FINANCIAL OFFICER
2914 WEST CAVETT DR
SHREVEPORT LA 71104

Officer/Director/Trustee Three

TAMMY SMITH
SECRETARY
101 FIRST STREET
STERLINGTON LA 71280

Officer/Director/Trustee Four

BETTIE HARRIS
DIRECTOR
1293 FAIRVIEW AVE
GREENVILLE MS 38701

Officer/Director/Trustee Five

NANCY RICHARDSON
DEVELOPMENTAL OFFICER
105 SECOND STREET
STERLINGTON LA 71280

Organization’s website
Organization’s email OTIS-BROWN@SBCGLOBAL.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/6/11
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name OTIS BROWN
Signature Title PRESIDENT/C.E.O.
Signature Date 12/18/18

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