FORM 1023-EZ for EAGLES HEART NATIVE AMERICAN MISSIONARY SOCIETY

Field Data
EIN 81-2873653
Case Number EO-2017173-000385
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAGLES HEART NATIVE AMERICAN MISSIONARY SOCIETY
Organization’s Mailing Address 512 MARK ST
City TECUMSEH
State OK
ZIP 74873
Accounting period End 12
Primary contact name SPENCER CODY JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SPENCER CODY JR
PRESIDENT, DIRECTOR
512 MARK ST
TECUMSEH OK 74873

Officer/Director/Trustee Two

SPENCER CODY III
SECRETARY, DIRECTOR
1114 MIMOSA
ADA OK 74820

Officer/Director/Trustee Three

CHRISTAN CODY
TREASURER, DIRECTOR
512 MARK ST
TECUMSEH OK 74873

Officer/Director/Trustee Four

JUSTIN CODY
VICE PRESIDENT, DIRECTOR
511 W 15TH ST
ADA OK 74820

Officer/Director/Trustee Five

REBBECCA CODY
DIRECTOR
512 MARK ST
TECUMSEH OK 74873

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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
Signature Title
Signature Date

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