FORM 1023-EZ for ANNIE LILLARD LEGACY INC

Field Data
EIN 83-2624036
Case Number EO-2019039-000520
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANNIE LILLARD LEGACY INC
Organization’s Mailing Address 2505 CARLTON WAY
City THE VILLAGE
State OK
ZIP 73120
Accounting period End 12
Primary contact name STEPHANIE DEAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARMIAN CONRAD
PRESIDENT
333 NW 5TH ST APT 1303
OKLAHOMA CITY OK 73102

Officer/Director/Trustee Two

MARY ALLISON STREET
VICE PRESIDENT
22200 RICKASHA DR
EDMOND OK 73025

Officer/Director/Trustee Three

KATHERINE LONG
TREASURER
2505 CARLTON WAY
THE VILLAGE OK 73120

Officer/Director/Trustee Four

MELODY STINSON
SECRETARY
4121 NW 21ST TERRACE
OKLAHOMA CITY OK 73107

Officer/Director/Trustee Five

STEPHANIE DEAN
DIRECTOR
2621 NW 49TH ST
OKLAHOMA CITY OK 73112

Organization’s website WWW.ANNIELILLARDLEGACY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P42 - Single Parent Agencies, Services
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 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 STEPHANIE DEAN
Signature Title DIRECTOR
Signature Date 2/4/19

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