FORM 1023-EZ for MARK CAMPBELL LEGACY FUND

Field Data
EIN 83-2907353
Case Number EO-2019039-000466
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MARK CAMPBELL LEGACY FUND
Organization’s Mailing Address 8988 E HAMPTON RD
City CLAREMORE
State OK
ZIP 74019
Accounting period End 12
Primary contact name SHIRLEY CAMPBELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHIRLEY CAMPBELL
DIRECTOR
8988 E HAMPTON RD
CLAREMORE OK 74019

Officer/Director/Trustee Two

LACY RAGLAND
DIRECTOR
8988 E HAMPTON RD
CLAREMORE OK 74019

Officer/Director/Trustee Three

MELODY STEWART
DIRECTOR
2003 E DRIFTWOOD DR
CLAREMORE OK 74017

Officer/Director/Trustee Four

JEFF CAMPBELL
DIRECTOR
9715 E 480 RD
CLAREMORE OK 74017

Officer/Director/Trustee Five

CRYSTAL STEWART
DIRECTOR
2700 WESTMORELAND AVE
SPRINGDALE AR 72762

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 Yes
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 SHIRLEY CAMPBELL
Signature Title DIRECTOR
Signature Date 2/4/19

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