FORM 1023-EZ for MY COMMUNITY LEGACY INITIATIVE

Field Data
EIN 47-3638887
Case Number EO-2016357-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY COMMUNITY LEGACY INITIATIVE
Organization’s Mailing Address 2808 BROOKSHIRE DRIVE
City SOUTHLAKE
State TX
ZIP 76092
Accounting period End 12
Primary contact name MOHAMMAD EHSAN PERACHA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAMMAD EHSAN PERACHA
CHAIRMAN
2808 BROOKSHIRE DRIVE
SOUTHLAKE TX 76092

Officer/Director/Trustee Two

SAMEENA KARMALLY
PRESIDENT
2808 BROOKSHIRE DRIVE
SOUTHLAKE TX 76092

Officer/Director/Trustee Three

RODNEY NAUERT
SECRETARY
2808 BROOKSHIRE DRIVE
SOUTHLAKE TX 76092

Officer/Director/Trustee Four

OMAIR PERACHA
TREASURER
2808 BROOKSHIRE DRIVE
SOUTHLAKE TX 76092

Officer/Director/Trustee Five

SAJID SHAIKH
VICE PRESIDENT
2808 BROOKSHIRE DRIVE
SOUTHLAKE TX 76092

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/2015
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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