FORM 1023-EZ for LEGACY HOSPICE FOUNDATION INC

Field Data
EIN 27-5432914
Case Number EO-2018186-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEGACY HOSPICE FOUNDATION INC
Organization’s Mailing Address 4334 N BRIGHT ANGEL AVE
City MERIDIAN
State ID
ZIP 83646-3611
Accounting period End 12
Primary contact name CORY SANFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JASON FLETCHER
DIRECTOR - PRESIDENT
4334 N BRIGHT ANGEL AVE
MERIDIAN ID 83646-3611

Officer/Director/Trustee Two

KEITH FLETCHER
DIRECTOR - VICE PRESIDENT
4334 N BRIGHT ANGEL AVE
MERIDIAN ID 83646-3611

Officer/Director/Trustee Three

CORY SANFORD
DIRECTOR
4334 N BRIGHT ANGEL AVE
MERIDIAN ID 83646-3611

Officer/Director/Trustee Four

JENNA GORDON
SECRETARY - TREASURER
4334 N BRIGHT ANGEL AVE
MERIDIAN ID 83646-3611

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/10
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P74 - Hospice
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JASON FLETCHER
Signature Title DIRECTOR - PRESIDENT
Signature Date 7/2/18

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