FORM 1023-EZ for JILLIANS LEGACY INC

Field Data
EIN 87-1101815
Case Number EO-2021181-000197
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JILLIANS LEGACY INC
Organization’s Mailing Address PO BOX 14
City VINCENT
State OH
ZIP 45784
Accounting period End 12
Primary contact name MICHAEL HARLOW JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNA HARLOW
PRESIDENT&DIRECTOR&CO-PR
1525 ROCKY POINT ROAD
FLEMING OH 45729

Officer/Director/Trustee Two

MICHAEL HARLOW JR
CO-PRESIDENT & DIRECTOR
1525 ROCKY POINT ROAD
FLEMING OH 45729

Officer/Director/Trustee Three

GINA MOORE
VICE PRESIDENT&DIRECTOR
1705 34TH STREET
PARKERSBURG WV 26104

Officer/Director/Trustee Four

ANGIE BRICKLES
TREASURER & DIRECTOR
15922 FOSSIL ROCK ROAD
ATHENS OH 45701

Officer/Director/Trustee Five

MICHELLE MILLS
SECRETARY & DIRECTOR
2301 BEVERLY STREET
PARKERSBURG WV 26101

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/2021
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y19 - Nonmonetary Support N.E.C.
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 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 DEANNA HARLOW
Signature Title PRESIDENT&DIRECTOR&CO-PR
Signature Date 6/28/2021

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