FORM 1023-EZ for PATJR LEGACY INC

Field Data
EIN 38-4004331
Case Number EO-2017333-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PATJR LEGACY INC
Organization’s Mailing Address 5936 NW 21ST STREET
City LAUDERHILL
State FL
ZIP 33313
Accounting period End 12
Primary contact name PATRICK PIERRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK PIERRE
CHAIR
5936 NW 21 STREET
LAUDERHILL FL 33313

Officer/Director/Trustee Two

JEANNE ROSE ALEXANDRE-PIERRE
VISE-CHAIR
5936 NW 21 STREET
LAUDERHILL FL 33313

Officer/Director/Trustee Three

ROSE MARLA SEIDE
SECRETARY
147 RUE 4 AND 5 E
CAP-HAITIAN, HAITI

Officer/Director/Trustee Four

CHANCILIA TELICE
TREASUSER
6900 NW 4TH STREET
PLANTATION FL 33314

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
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 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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