FORM 1023-EZ for THE LEGACY INSTITUTE

Field Data
EIN 61-1768488
Case Number EO-2015251-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LEGACY INSTITUTE
Organization’s Mailing Address 24654 N LAKE PLEASANT PKWY 103-497
City PEORIA
State AZ
ZIP 85383
Accounting period End 12
Primary contact name SHARON BELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON BELL
PRESIDENT, DIRECTOR
24654 N LAKE PLEASANT PKWY 103-497
PEORIA AZ 85383

Officer/Director/Trustee Two

CATHY BISSETT
SECRETARY, DIRECTOR
24654 N LAKE PLEASANT PKWY 103-497
PEORIA AZ 85383

Officer/Director/Trustee Three

COLLEEN KOWALKE
TREASURER, DIRECTOR
24654 N LAKE PLEASANT PKWY 103-497
PEORIA AZ 85383

Officer/Director/Trustee Four

KELSI RATHER
DIRECTOR
8820 W BELL RD APT 244
PEORIA AZ 85382

Officer/Director/Trustee Five

RICHARD COX
DIRECTOR
490 BEAR TREE CREEK
CHAPEL HILL NC 27517

Organization’s website WWW.STUMBLEGUM.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/29/2015
Organization Incorporation State AZ
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: Yes
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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