FORM 1023-EZ for THE SURGICAL EXTRACTION FOUNDATION

Field Data
EIN 83-3300281
Case Number EO-2019204-000222
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SURGICAL EXTRACTION FOUNDATION
Organization’s Mailing Address 2845 WEST ELK AVENUE
City DUNCAN
State OK
ZIP 73533
Accounting period End 12
Primary contact name MOLLI EMERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOUGLAS MILLER
PRESIDENT
2845 WEST ELK AVENUE
DUNCAN OK 73533

Officer/Director/Trustee Two

KELLY DILLON
TREASURER
87 NW ALEX DRIVE
INDIAHOMA OK 72552

Officer/Director/Trustee Three

ROBERT STEWART
SECRETARY
7617 NW ANDREWS
LAWTON OK 73505

Officer/Director/Trustee Four

JERRY HOWELL
VICE PRESIDENT
273805 GATLIN ROAD
DUNCAN OK 73533

Officer/Director/Trustee Five

RYAN SAND
BOARD MEMBER
19 NW 31ST STREET
LAWTON OK 73505

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E02 - Management & Technical Assistance
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DOUGLAS MILLER
Signature Title PRESIDENT
Signature Date 7/19/19

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