FORM 1023-EZ for JACK KING MEMORIAL POW WOW ASSOCIATION

Field Data
EIN 47-2780846
Case Number EO-2015082-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACK KING MEMORIAL POW WOW ASSOCIATION
Organization’s Mailing Address PO BOX 485
City MIAMI
State OK
ZIP 74355
Accounting period End 12
Primary contact name JUSTIN BARRETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUSTIN BARRETT
PRESIDENT
10520 S PAINTHORSE CIRCLE
WYANDOTTE OK 74370

Officer/Director/Trustee Two

STEVE BALDWIN
VICE PRESIDENT
69421 E 94 ROAD
WYANDOTTE OK 74370

Officer/Director/Trustee Three

NATALIE KOCH
SECRETARY
10521 S PAINTHORSE CIRCLE
WYANDOTTE OK 74370

Officer/Director/Trustee Four

TERESA MCGINTY
TREASURER
2232 A STREET NE
MIAMI OK 74354

Officer/Director/Trustee Five

BILL BIGHEART
1ST BOARD MEMBER
63299 E 100 ROAD
MIAMI OK 74354

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: No
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 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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