FORM 1023-EZ for LEGACY CARES INC

Field Data
EIN 81-3469680
Case Number EO-2016237-000393
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEGACY CARES INC
Organization’s Mailing Address 2235 CANDIES LANE NW
City CLEVELAND
State TN
ZIP 37312-2619
Accounting period End 12
Primary contact name BARRY RAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY RAY
PRESIDENT
2235 CANDIES LANE NW
CLEVELAND TN 37312-2619

Officer/Director/Trustee Two

BRYAN COOK
SECRETARY
2235 CANDIES LANE NW
CLEVELAND TN 37312-2619

Officer/Director/Trustee Three

TOM BOLER
TREASURER
2235 CANDIES LANE NW
CLEVELAND TN 37312-2619

Organization’s website LEGACYCARESFUND.NET
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2016
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief 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 Yes
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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