FORM 1023-EZ for RAPHA CARE FOUNDATION INC

Field Data
EIN 81-0862882
Case Number EO-2018249-000324
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RAPHA CARE FOUNDATION INC
Organization’s Mailing Address P O BOX 33467
City TULSA
State OK
ZIP 74153
Accounting period End 12
Primary contact name SERAH BENDALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWNA TIEMAN
DIRECTOR
5210 E 47TH PL APT 2
TULSA OK 74135

Officer/Director/Trustee Two

TINA WITCHER
DIRECTOR
5210 E 47TH PL
TULSA OK 74135

Officer/Director/Trustee Three

SERAH BENDALL
DIRECTOR
416 S PENNSYLVANIA AVE
DRUMRIGHT OK 74030

Officer/Director/Trustee Four

ALICIA WHITAKER
DIRECTOR
5210 E 47TH PL
TULSA OK 74135

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/15/15
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SERAH BENDALL
Signature Title DIRECTOR
Signature Date 9/4/18

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