FORM 1023-EZ for PHILADELPHIA LEGACY MEDIA FOUNDATION

Field Data
EIN 81-4104957
Case Number EO-2019050-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHILADELPHIA LEGACY MEDIA FOUNDATION
Organization’s Mailing Address PO BOX 10944
City WILMINGTON
State DE
ZIP 19850
Accounting period End 12
Primary contact name ANGELA R SIMMONS-SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA SIMMONS-SMITH
CEO/PRESIDENT
306 HARLEQUIN CT
NEW CASTLE DE 19720

Officer/Director/Trustee Two

DARYL DEBREST
VIE PRESIDENT/BOARD CHAIR
719 E DORSET STREET
PHILADELPHIA PA 19119

Officer/Director/Trustee Three

GEORGE VAN NORTON
SECRETARY
1932 ELSTON STREET
PHILADELPHIA PA 19138

Officer/Director/Trustee Four

ALICIA MOLE
TREASURER
6809 MITCHELL STREET
PHILADELPHIA PA 19128

Organization’s website PHILADELPHIALEGACYMEDIA.ORG
Organization’s email INFORMATION@PHILADELPHIALEGACYMEDIA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/16
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A30 - Media, Communications Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 ANGELA SIMMONS-SMITH
Signature Title CEO/PRESIDENT
Signature Date 2/15/19

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