FORM 1023-EZ for LEGACY REFUGE
| Field | Data |
|---|---|
| EIN | 82-1339052 |
| Case Number | EO-2017202-000243 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LEGACY REFUGE |
| Organization’s Mailing Address | 16807 HASTINGS ST SW |
| City | HAM LAKE |
| State | MN |
| ZIP | 55304 |
| Accounting period End | 12 |
| Primary contact name | JUSTIN HAYSLETT |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JUSTIN HAYSLETT
CHAIR
16807 HASTINGS ST NE
HAM LAKE MN 55304
Officer/Director/Trustee Two
FRANCIOUS DUPREE
BOARD MEMBER
16807 HASTINGS ST NE
HAM LAKE MN 55304
Officer/Director/Trustee Three
JAY MESSERER
TREASURER
2007 10TH ST SW
WILLMAR MN 56201
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/27/2016 |
| Organization Incorporation State | MN |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P30 - Children's, Youth Services |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| 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 | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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