FORM 1023-EZ for ETHANS LEGACY INCORPORATED

Field Data
EIN 86-2759135
Case Number EO-2021160-000218
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ETHANS LEGACY INCORPORATED
Organization’s Mailing Address 4576 E COUNTY ROAD 75 N
City FILLMORE
State IN
ZIP 46128
Accounting period End 12
Primary contact name ASHLEY AMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ASHLEY AMES
PRESIDENT DIRECTOR
4116 4TH AVE
SACRAMENTO CA 95817-3019

Officer/Director/Trustee Two

REGINA AMES
TREASURER DIRECTOR
4576 E COUNTY ROAD 75 N
FILLMORE IN 46128-9375

Officer/Director/Trustee Three

ERIC RIPPY
VICE PRESIDENT DIRECTOR
5512 E COUNTY ROAD 50 S
FILLMORE IN 46128-9629

Officer/Director/Trustee Four

RICHEL GEISSE
SECRETARY DIRECTOR
6677 KARLEIGH DR
BROWNSBURG IN 46112-5512

Officer/Director/Trustee Five

JOLENE MATTOX
DIRECTOR
510 E 6TH STREET
FLORA IL 62839-1915

Organization’s website ETHANSLEGACY.ORG
Organization’s email ASHLEY@ETHANSLEGACY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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 ASHLEY AMES
Signature Title PRESIDENT DIRECTOR
Signature Date 6/7/2021

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