FORM 1023-EZ for CHOCTAW NATION SOBER LIVING INC

Field Data
EIN 47-3384725
Case Number EO-2015075-000392
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHOCTAW NATION SOBER LIVING INC
Organization’s Mailing Address 700 BIG HILL CIR
City MCALESTER
State OK
ZIP 74501
Accounting period End 2
Primary contact name JEANNE LEFLORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOB BURLISON
CHAIRMAN
804 W ENID
WILBERTON OK 74578

Officer/Director/Trustee Two

ANTHONY DILLARD
VICE CHAIRMAN
1182 S NIX RD
CANEY OK 74553

Officer/Director/Trustee Three

NELLIE MEASHINTUBBY
TREASURER
PO BOX 753
MCALESTER OK 74501

Officer/Director/Trustee Four

JEANNE LEFLORE
SECRETARY
700 BIG HILL CIR
MCALESTER OK 74501

Officer/Director/Trustee Five

MILE PARKS
ATTORNEY
10 EAST WASHINGTON AVE
MCALESTER OK 74501

Organization’s website
Organization’s email CNSOBERLIVING@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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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