FORM 1023-EZ for LEGACY FAMILY CENTER

Field Data
EIN 37-1634701
Case Number EO-2015118-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEGACY FAMILY CENTER
Organization’s Mailing Address P O BOX 431048
City BROOKLYN PARK
State MN
ZIP 55443
Accounting period End 12
Primary contact name VICTORIA KARPEH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VICTORIA KARPEH
PRESIDENT
9220 ZANZIBAR LANE NORTH APT 105
MAPLE GROVE MN 55311

Officer/Director/Trustee Two

VERONIQUE MERLIN
VICE PRESIDENT
2100 83RD STREET
BLOOMINGTON MN 55431

Officer/Director/Trustee Three

TONIA FLOWERT
SSECRETARY
839 MERRILL STREET
HAMMOND IN 46320

Officer/Director/Trustee Four

ROBIN PEREZ
DIRECTOR
5914 ELLIOT AV S
MINNEAPOLIS MN 55407

Officer/Director/Trustee Five

BERISHIA WILSON-CHAMBERLAIN
DIRECTOR
7409 HUMBOLDT AV N
MINNEAPOLIS MN 55444

Organization’s website
Organization’s email LFCBPMN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2011
Organization Incorporation State MN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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