FORM 1023-EZ for NESHAS GOLD FOUNDATION

Field Data
EIN 81-1782474
Case Number EO-2016111-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NESHAS GOLD FOUNDATION
Organization’s Mailing Address 17348 E 1150 RD
City SWEETWATER
State OK
ZIP 73666
Accounting period End 12
Primary contact name PERSHA HAGERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PERISHA HAGERMAN
PRESIDENT
17348 E 1150 RD
SWEETWATER OK 73666

Officer/Director/Trustee Two

CJ HAGERMAN
VICE PRESIDENT
17348 E 1150 RD
SWEETWATER OK 73666

Officer/Director/Trustee Three

DENA HOUGH
SECRETARY
909 W BROADWAY
ELK CITY OK 73644

Organization’s website WWW.NESHASGOLD.COM
Organization’s email NESHASGOLD@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/2015
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: 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 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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