FORM 1023-EZ for HOME AT LAST LAWTON OKLAHOMA INCORPORATION

Field Data
EIN 81-1893506
Case Number EO-2016277-000413
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOME AT LAST LAWTON OKLAHOMA INCORPORATION
Organization’s Mailing Address 620 SW AVE
City LAWTON
State OK
ZIP 73501
Accounting period End 12
Primary contact name TAMMIE SHROLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONALD SHELBY
PRESIDENT
815 SW E AVE
LAWTON OK 73501

Officer/Director/Trustee Two

BRANDON JOHNSON
VICE PRESIDENT
712 NW 35TH PLACE
LAWTON OK 73505

Officer/Director/Trustee Three

RO BIELIMSKI
TREASURER
4515 NE HIGHLANDERDT
LAWTON OK 73507

Officer/Director/Trustee Four

STEPHANIE MOSLEY
SECRETARY
503 NW EUCLID AVE
LAWTON OK 73057

Officer/Director/Trustee Five

TAMMIE SHROLL
ADVISOR
4620 NW LINCOLN AVE
LAWTON OK 73505

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 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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