FORM 1023-EZ for CROSS TIMBERS PRESCRIBED BURN ASSOCIATION

Field Data
EIN 47-1357998
Case Number EO-2018221-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSS TIMBERS PRESCRIBED BURN ASSOCIATION
Organization’s Mailing Address 201 N SANDY LANE
City CHANDLER
State OK
ZIP 74834
Accounting period End 12
Primary contact name JULIE ANN WARD CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VERLIN HART
PRESIDENT
201 N SANDY LANE
CHANDLER OK 74834

Officer/Director/Trustee Two

MICK JONES
VICE PRESIDENT
201 N SANDY LANE
CHANDLER OK 74834

Officer/Director/Trustee Three

GARY BLEDSOE
SECRETARY/TREASURER
201 N SANDY LANE
CHANDLER OK 74834

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/15
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C34 - Land Resources Conservation
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name VERLIN HART
Signature Title PRESIDENT
Signature Date 8/7/18

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