FORM 1023-EZ for LEGACY OUTREACH ASIA

Field Data
EIN 84-4190830
Case Number EO-2021064-001441
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEGACY OUTREACH ASIA
Organization’s Mailing Address 2750 GIMLET CREEK ROAD
City LAWRENCEBURG
State TN
ZIP 38464
Accounting period End 11
Primary contact name ALAN MODISETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAN MODISETTE
CHAIRMAN OF THE BOARD
2750 GIMLET CREEK ROAD
LAWRENCEBURG TN 38464

Officer/Director/Trustee Two

GERALD GEHO
CHIEF FINANCIAL OFFICER
1338 MILLER LANE
LAWRENCEBURG TN 38464

Officer/Director/Trustee Three

MELINDA SEVIER
PRESIDENT
1517 SCENIC ROAD
LAWRENCEBURG TN 38464

Officer/Director/Trustee Four

JAMES TURNBOW
VICE PRESIDENT
6830 CHALK CREEK ROAD
COLLINWOOD TN 38450

Officer/Director/Trustee Five

ANTHONY ROSE
PUBLIC RELATIONS OFFICER
130 NASH ROAD
SUMMERTOWN TN 38483

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/7/2019
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALAN MODISETTE
Signature Title CHAIRMAN OF THE BOARD
Signature Date 1/12/2021

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