FORM 1023-EZ for BARTLESVILLE FILM SOCIETY

Field Data
EIN 81-1099455
Case Number EO-2016076-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARTLESVILLE FILM SOCIETY
Organization’s Mailing Address 5600 EAST PL
City BARTLESVILLE
State OK
ZIP 74006
Accounting period End 12
Primary contact name SHAUN HENISEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAUN HENISEY
PRESIDENT
5600 EAST PL
BARTLESVILLE OK 74006

Officer/Director/Trustee Two

NATHAN DAVIS
VICE PRESIDENT
136 SE MORNINGSIDE AVE
BARTLESVILLE OK 74006

Officer/Director/Trustee Three

DESHANE ATKINS
TREASURER
1417 DEWEY AVE
BARTLESVILLE OK 74003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/14/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 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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