FORM 1023-EZ for THE JACQUES PEPIN LEGACY FUND

Field Data
EIN 82-4624201
Case Number EO-2018064-000321
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE JACQUES PEPIN LEGACY FUND
Organization’s Mailing Address 56 MIDDLE HWY
City BARRINGTON
State RI
ZIP 2806-1515
Accounting period End 12
Primary contact name ROLLIE WESEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROLLIE WESEN
DIRECTOR
56 MIDDLE HIGHWAY
BARRINGTON RI 2806-1515

Officer/Director/Trustee Two

CLAUDINE PEPIN
PRESIDENT
56 MIDDLE HIGHWAY
BARRINGTON RI 2806-1515

Officer/Director/Trustee Three

ROBERT PRICE
DIRECTOR
1110 36TH AVE
SEATTLE WA 98122

Officer/Director/Trustee Four

BRIAN MAYNARD
DIRECTOR
2000 M-63 NORTH MD C4216
BENTON HARBOR MI 49022

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/11/18
Organization Incorporation State RI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: No
Religious: No
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 ROLLIE WESEN
Signature Title DIRECTOR
Signature Date 3/2/18

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