FORM 1023-EZ for LIFE LEGACY OCALA INC

Field Data
EIN 46-3704409
Case Number EO-2015044-000118
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIFE LEGACY OCALA INC
Organization’s Mailing Address 5720 NE 25TH AVE
City OCALA
State FL
ZIP 34479
Accounting period End 12
Primary contact name HANS BORGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HANS BORGER
PRESIDENT, DIRECTOR
5720 NE 25TH AVE
OCALA FL 34479

Officer/Director/Trustee Two

RICHARD COUCH
VICE PRESIDENT, DIRECTOR
3641 SE 56TH ST
OCALA FL 34480

Officer/Director/Trustee Three

JACK COPELAND
SECRETARY, TREASURER, DIRECTOR
6060 SE 4TH PL
OCALA FL 34472

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2013
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
Organization’s purpose Charitable: No
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 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 No
One Third Support Gifts Yes
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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