FORM 1023-EZ for BLUE GOOSE COMMUNITY DEVELOPMENT

Field Data
EIN 82-1730389
Case Number EO-2019331-000356
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLUE GOOSE COMMUNITY DEVELOPMENT
Organization’s Mailing Address 1113 SNOW STREET
City SHREVEPORT
State LA
ZIP 71101
Accounting period End 12
Primary contact name ASKARI HINTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASKARI HINTON
DIRECTOR
1113 SNOW STREET
SHREVEPORT LA 71101

Organization’s website HTTP://CFRSHREVEPORT.COM/
Organization’s email ASKARIHINTON@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/17
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 ASKARI HINTON
Signature Title DIRECTOR
Signature Date 11/25/19

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