FORM 1023-EZ for THE HENRY MEMORIAL FOUNDATION
| Field | Data |
|---|---|
| EIN | 81-0885554 |
| Case Number | EO-2016069-000211 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | THE HENRY MEMORIAL FOUNDATION |
| Organization’s Mailing Address | 508 SOUTH SUSAN AVENUE |
| City | WAGONER |
| State | OK |
| ZIP | 74467 |
| Accounting period End | 12 |
| Primary contact name | GWEN HENRY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
JAMES HENRY
CHAIRMAN OF THE BOARD
419 EAST C ST
JENKS OK 74037
Officer/Director/Trustee Two
JANICE DEARMAN
SECRETARY
508 S SUSAN AVE
WAGONER OK 74467
Officer/Director/Trustee Three
TIFFANI REVIS
TREASURER
1501 EAST 59TH ST
TULSA OK 74105
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/8/2015 |
| Organization Incorporation State | OK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G30 - Cancer |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| 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 | 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 | |
| Signature Title | |
| Signature Date |
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