FORM 1023-EZ for COALESCENT COMMUNITY DEVELOPMENT CORPORATION

Field Data
EIN 81-1855158
Case Number EO-2016287-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COALESCENT COMMUNITY DEVELOPMENT CORPORATION
Organization’s Mailing Address 11251 S NANDINA AVE
City JENKS
State OK
ZIP 74037
Accounting period End 3
Primary contact name CLARENCE BOYD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLARENCE BOYD
OFFICER
11251 S NANDINA AVE
JENKS OK 74037

Officer/Director/Trustee Two

PAUL JOHNSON
OFFICER
115 W 5TH STREET 1204
TULSA OK 74103

Officer/Director/Trustee Three

BRIAN HUMPHREY
OFFICER
1731 S JACKSON AVE APT 26L
TULSA OK 74107

Organization’s website WWW.COALESCENTCDC.ORG
Organization’s email CONTACT@COALESCENTCDC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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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