FORM 1023-EZ for LEOS LOVE FOUNDATION

Field Data
EIN 83-1040135
Case Number EO-2019038-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEOS LOVE FOUNDATION
Organization’s Mailing Address 63003 CROWN POINT RD
City COOS BAY
State OR
ZIP 97420
Accounting period End 12
Primary contact name NATASHA COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATASHA COX
PRESIDENT
63003 CROWN POINT RD
COOS BAY OR 97420

Officer/Director/Trustee Two

MONIKA CHURCHILL
TREASURER
2067 GRANT ST
NORTH BEND OR 97459

Officer/Director/Trustee Three

ALICIA HENRY
SECRETARY
715 S 5TH ST
COOS BAY OR 97420

Organization’s website HTTP://WWW.LEOSLOVEFOUNDATION.ORG
Organization’s email NWARREN253@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/18
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NATASHA COX
Signature Title PRESIDENT
Signature Date 1/29/19

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