FORM 1023-EZ for ASSURED LEGACY FOUNDATION INC

Field Data
EIN 84-4787157
Case Number EO-2020196-000318
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSURED LEGACY FOUNDATION INC
Organization’s Mailing Address 2479 PEACHTREE RD NE STE CU1
City ATLANTA
State GA
ZIP 30305
Accounting period End 12
Primary contact name ROBERT WELLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LADORIS HARRIS
COO/CHAIRPERSON
2479 PEACHTREE RD NE STE CU1
ATLANTA GA 30305

Officer/Director/Trustee Two

LILLY REID
TREASURER
2479 PEACHTREE RD NE
ATLANTA GA 30305

Officer/Director/Trustee Three

ELISE FLUELLEN
SEC
6709 CHESEPEAKE TR
ATLANTA GA 30311

Officer/Director/Trustee Four

YVONNE GAMBLE
DIRECTOR
2479 PEACHTREE RD NE
ATLANTA GA 30305

Officer/Director/Trustee Five

LINDA MCBRIDE
DIRECTOR
2479 PEACHTREE RD NE
ATLANTA GA 30305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2020
Organization Incorporation State GA
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: Yes
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 Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 LADORIS HARRIS
Signature Title COO/CHAIRPERSON
Signature Date 6/11/2020

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