FORM 1023-EZ for MY GOD MOTHERS HOUSE

Field Data
EIN 82-5364135
Case Number EO-2018128-000927
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY GOD MOTHERS HOUSE
Organization’s Mailing Address 502 SEQUOYAH TRAIL
City NORMAN
State OK
ZIP 73071
Accounting period End 12
Primary contact name MARILYN DURBIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILYN DURBIN
CHIEF EXECUTIVE OFFICER
502 SEQUOYAH TRAIL
NORMAN OK 73069

Officer/Director/Trustee Two

TRACY FORTNER
CHIEF OPERATING OFFICER
502 SEQUOYAH TRAIL
NORMAN OK 73069

Officer/Director/Trustee Three

RAY DURBIN
DIRECTOR OF THE BOARD
502 SEQUOYAH TRAIL
NORMAN OK 73071

Officer/Director/Trustee Four

BO COX
DIRECTOR OF THE BOARD
502 SEQUOYAH TRAIL
NORMAN OK 73071

Officer/Director/Trustee Five

TANYA WALLACE
DIRECTOR OF THE BOARD
502 SEQUOYAH TRAIL
NORMAN OK 73071

Organization’s website MYGODMOTHERSHOUSE.ORG
Organization’s email MYGODMOTHERSHOUSE46@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I31 - Transitional Care, Half-Way House for Offenders, Ex-Offenders
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 MARILYN DURBIN
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 5/3/18

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