FORM 1023-EZ for LEGACY COUNSELING AND WORKFORCE CONNECTIONS
| Field | Data |
|---|---|
| EIN | 46-4590127 |
| Case Number | EO-2019063-000554 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LEGACY COUNSELING AND WORKFORCE CONNECTIONS |
| Organization’s Mailing Address | 3009 WEST CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| ZIP | 89102-1943 |
| Accounting period End | 12 |
| Primary contact name | CHRIS DOSS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
CHARLETTE SMITH
CFO
4622 MILVIO AVE
LAS VEGAS NV 89141-4201
Officer/Director/Trustee Two
KRAYTON STEPHENS
OWNER
1127 BARNARD DR
LAS VEGAS NV 89102-1804
Officer/Director/Trustee Three
CHRIS DOSS
CLINICAL DIRECTOR
1127 BARNARD DR
LAS VEGAS NV 89102-1804
Officer/Director/Trustee Four
AARON BURCIAGA
SUPERVISOR
2138 ALLEGIANCE DR
NORTH LAS VEGAS NV 89032-4882
Officer/Director/Trustee Five
CORDELL HARRIS
OFFICE MANAGER
5085 E SUNVALLEY DR
LAS VEGAS NV 89122-6656
| Organization’s website | |
|---|---|
| Organization’s email | LEGACYCOUNSELINGLLC@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/1/19 |
| Organization Incorporation State | NV |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F99 - Mental Health, Crisis Intervention N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No 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 | No |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | Yes |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | CHRIS DOSS |
| Signature Title | CLINICAL DIRECTOR |
| Signature Date | 3/2/19 |
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