FORM 1023-EZ for THE LEFLORE FOUNDATION

Field Data
EIN 47-3969538
Case Number EO-2016076-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LEFLORE FOUNDATION
Organization’s Mailing Address 1690 BONNIE LANE
City CORDOVA
State TN
ZIP 38016
Accounting period End 12
Primary contact name WILLIE LEFLORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

WILLIE LEFLORE JR
PRESIDENT
2185 LONG STREET
MEMPHIS TN 38114

Officer/Director/Trustee Two

BERNADINE LEWIS
VICE PRESIDENT
2185 LONG STREET
MEMPHIS TN 38114

Officer/Director/Trustee Three

WILLIE LEFLORE SR
SECRETARY
10419 MICHIE COVE
OLIVE BRANCH TN 38654

Officer/Director/Trustee Four

TERRY DAVIS
TREASURY
5909 WATERSTONE OAK WAY
MEMPHIS TN 38115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/10/2015
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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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