FORM 1023-EZ for NEW IDENTITY FOUNDATION

Field Data
EIN 81-5317644
Case Number EO-2020038-000320
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW IDENTITY FOUNDATION
Organization’s Mailing Address 2501 N WESTERN AVE
City OKLAHOMA CITY
State OK
ZIP 73106
Accounting period End 4
Primary contact name MONICA TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA TUCKER
PRESIDENT/CEO
613 NW 117TH ST
OKC OK 73114

Officer/Director/Trustee Two

TERRY ANDERSON
TREASURER
1716 LONGHORN
EDMOND OK 73003

Officer/Director/Trustee Three

SHIRLEY HARTWELL
EDUCATION DIRECTOR
2308 FAIRFIELD
EDMOND OK 73102

Officer/Director/Trustee Four

BRENDER JACKSON
MEDICAL DIRECTOR
1140 NW 88TH ST
OKC OK 73114

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MONICA TUCKER
Signature Title PRESIDENT/CEO
Signature Date 2/5/2020
EIN 81-5317644
Case Number EO-2019035-000539
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEW IDENTITY FOUNDATION
Organization’s Mailing Address 2501 N WESTERN AVE
City OKLAHOMA CITY
State OK
ZIP 73106
Accounting period End 4
Primary contact name M
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MONICA TUCKER
PRESIDENT/CEO
613 NW 117TH ST
OKC OK 73114

Officer/Director/Trustee Two

TERRY ANDERSON
TREASURER
1716 LONGHORN
EDMOND OK 73003

Officer/Director/Trustee Three

SHIRLEY HARTWELL
EDUCATION DIRECTOR
2308 FAIRFIELD DR
EDMOND OK 73102

Officer/Director/Trustee Four

BRENDER JACKSON
MEDICAL DIRECTOR
1140 NW 88TH ST
OKC OK 73114

Officer/Director/Trustee Five

LINDA STAMPS
OUTREACH DIRECTOR
2501 N WESTERN AVE
OKC OK 73106

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/17
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 MONICA TUCKER
Signature Title PRESIDENT/CEO
Signature Date 1/10/19

Recently Saved Organizations

Click on the save icon from a search results or organization page.