FORM 1023-EZ for MASLYNN COSBY KLEEFSTRA SYNDROME FOUNDATION
| Field | Data |
|---|---|
| EIN | 85-3630601 |
| Case Number | EO-2020318-000116 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | MASLYNN COSBY KLEEFSTRA SYNDROME FOUNDATION |
| Organization’s Mailing Address | 12028 SE 134TH STREET |
| City | OKLAHOMA CITY |
| State | OK |
| ZIP | 73165 |
| Accounting period End | 12 |
| Primary contact name | KEITH AUSTIAN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEITH AUSTIAN
PRESIDENT/TRUSTEE
12028 SE 134TH STREET
OKLAHOMA CITY OK 73165
Officer/Director/Trustee Two
JENNIFER COSBY
VICE PRESIDENT/TRUSTEE
12100 SE 134TH STREET
OKLAHOMA CITY OK 73165
Officer/Director/Trustee Three
MICHAEL COSBY
VP OPERATIONS/TRUSTEE
12100 SE 134TH STREET
OKLAHOMA CITY OK 73165
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/7/2020 |
| Organization Incorporation State | OK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G80 - Specifically Named Diseases |
| 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 | 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 | KEITH AUSTIAN |
| Signature Title | PRESIDENT/TRUSTEE |
| Signature Date | 11/11/2020 |
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