FORM 1023-EZ for MARISSAS LEGACY

Field Data
EIN 47-2364113
Case Number EO-2017235-000442
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARISSAS LEGACY
Organization’s Mailing Address N6075 GREYFOX TRAIL
City SULLIVAN
State WI
ZIP 53178-9731
Accounting period End 12
Primary contact name NICOLE LIEBLANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICOLE LIEBLANG
SECRETARY
N6075 GREYFOX TRAIL
SULLIVAN WI 53178-9731

Officer/Director/Trustee Two

MARY LIEBLANG
TREASURER
N6075 GREYFOX TRAIL
SULLIVAN WI 53178-9731

Officer/Director/Trustee Three

JAY LIEBLANG
DIRECTOR
N6075 GREYFOX TRAIL
SULLIVAN WI 53178-9731

Officer/Director/Trustee Four

PAUL EICHER
PRESIDENT
N6075 GREYFOX TRAIL
SULLIVAN WI 53178

Officer/Director/Trustee Five

TIMOTHY WACKER
DIRECTOR
1297 YOSEMITE RD
OCONOMOWOW WI 53066

Organization’s website MARISSASLEGACY.ORG
Organization’s email NIKKI@MARISSASLEGACY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2014
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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