FORM 1023-EZ for HOLINESS RESTORATION CHURCH OF GOD IN CHRIST

Field Data
EIN 81-3459358
Case Number EO-2016305-000490
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLINESS RESTORATION CHURCH OF GOD IN CHRIST
Organization’s Mailing Address 8100 N CLASSEN BOULEVARD SUITE 113
City OKLAHOMA CITY
State OK
ZIP 73116
Accounting period End 12
Primary contact name EDWARD BUCKLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD BUCKLEY
DIRECTOR
504 NW 155TH CIRCLE
EDMOND OK 73013

Officer/Director/Trustee Two

STACIA WORLEY
INCORPORATOR
9254 N MACARTHUR BLVD
OKLAHOMA CITY OK 73132

Officer/Director/Trustee Three

ROSHONDA COLEMAN
INCORPORATOR
14323 N PENNSYLVANIA APT B
OKLAHOMA CITY OK 73134

Officer/Director/Trustee Four

WYNTER HALL
INCORPORATOR
14323 N PENNSYLVANIA APT B
OKLAHOMA CITY OK 73134

Organization’s website
Organization’s email HOLINESSRESTORATIONCOGIC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/4/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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