FORM 1023-EZ for RAY LEE JR LEGACY FOUNDATION

Field Data
EIN 81-1523021
Case Number EO-2016076-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RAY LEE JR LEGACY FOUNDATION
Organization’s Mailing Address 5331 SW MACADAM AVE STE 258 PMB 113
City PORTLAND
State OR
ZIP 97239
Accounting period End 12
Primary contact name CAROLYN J LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CAROLYN LEE
PRESIDENT
5032 SW VIEW POINT TERRACE
PORTLAND OR 97239

Officer/Director/Trustee Two

NASTASHIA LEE
TREASURER
15076 NW CENTRAL DR APT 107
PORTLAND OR 97229

Officer/Director/Trustee Three

MADIKA OWENS
SECRETARY
1720 SW 4TH AVENUE APT 221
PORTLAND OR 97201

Officer/Director/Trustee Four

AARON COLLINS
BOARD MEMBER
747 10TH AVENUE APT 14F
NEW YORK NY 10019

Officer/Director/Trustee Five

JUSTIN DAVIS
BOARD MEMBER
803 PRESIDENT ST
BROOKLYN NY 11215

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/10/2016
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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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