FORM 1023-EZ for FOUR KINGS LE MC INC

Field Data
EIN 81-5393141
Case Number EO-2017188-000286
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUR KINGS LE MC INC
Organization’s Mailing Address 2002 SOUTH BIXBY
City SAPULPA
State OK
ZIP 74066
Accounting period End 12
Primary contact name JIM MADDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM MADDEN
PRESIDENT
2002 SOUTH BIXBY
SAPULPA OK 74066

Officer/Director/Trustee Two

RUSTY ADAMS
CAPTAIN
13817 EAST 30TH
TULSA OK 74134

Officer/Director/Trustee Three

BRET BOWLING
TREASURER
7431 WEST 151ST SOUTH BOX 653
KIEFER OK 74041

Officer/Director/Trustee Four

RON TEEL
SGT. OF ARMS
8422 BRATTON ROAD
TULSA OK 74126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N50 - Recreational, Pleasure, or Social Club
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 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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