FORM 1023-EZ for LEGACIES EMPOWERED INC

Field Data
EIN 85-4017087
Case Number EO-2021049-000493
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEGACIES EMPOWERED INC
Organization’s Mailing Address 51 JACKSON BLVD
City BEDFORD
State OH
ZIP 44146
Accounting period End 12
Primary contact name CHARDE HOLLINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARDE HOLLINS
EXECUTIVE DIRECTOR
51 JACKSON BLVD
BEDFORD OH 44146

Officer/Director/Trustee Two

BRITTANY WORKS
PRESIDENT
2038 CHARTER LANE
LITHONIA GA 30058

Officer/Director/Trustee Three

ROBERT PATTERSON
VICE PRESIDENT
PO BOX 1764
APOPKA FL 32704

Officer/Director/Trustee Four

TERRYKA JOHNSON
SECRETARY/TREASURER
20758 BOWLING GREEN RD
MAPLE HTS OH 44137

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2020
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F60 - Counseling, Support Groups
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 CHARDE HOLLINS
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/10/2020

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