FORM 1023-EZ for LEOCADIA INC

Field Data
EIN 81-5299137
Case Number EO-2017079-000386
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEOCADIA INC
Organization’s Mailing Address 2309 VISTA HUERTA
City NEWPORT BEACH
State CA
ZIP 92660-4038
Accounting period End 12
Primary contact name SUSAN SHERSHENOVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN SHERSHENOVICH
CHIEF EXECUTIVE OFFICER
2309 VISTA HUERTA
NEWPORT BEACH CA 92660-4048

Officer/Director/Trustee Two

ARVIN JENAB
SECRETARY
1202 BRISTOL ST
COSTA MESA CA 92626-8605

Officer/Director/Trustee Three

CAROLYN MIDDLEBROOKS
CHIEF FINANCIAL OFFICER
220 NICE LANE 310
NEWPORT BEACH CA 92663-1606

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code V11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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
Signature Title
Signature Date

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