FORM 1023-EZ for GREEN COUNTRY FATERNAL ORDER OF LEATHERHEADS SOCIETY

Field Data
EIN 47-2105063
Case Number EO-2014295-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREEN COUNTRY FATERNAL ORDER OF LEATHERHEADS SOCIETY
Organization’s Mailing Address 24130 MEADOWVIEW COURT
City CLAREMORE
State OK
ZIP 74019
Accounting period End 10
Primary contact name RICHARD WRIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEREMY HEWIN
PRESIDENT
24130 MEADOWVIEW COURT
CLAREMORE OK 74019

Officer/Director/Trustee Two

BEN HATCHER
VICE PRESIDENT
8751 NORTH 97 EAST AVENUE
OWASSO OK 74055

Officer/Director/Trustee Three

RICHARD WRIGHT
SECRETARY/TREASURER
10745 EAST 119TH STREET NORTH
COLLINSVILLE OK 74021

Officer/Director/Trustee Four

STEWART KELLEY
TRUSTEE (MEMBERSHIPS)
413 SOUTH 20TH STREET
COLLINSVILLE OK 74021

Officer/Director/Trustee Five

ROBERT GOODE
TRUSTEE (TRAINING)
20650 EAST 122 STREET NORTH
CLAREMORE OK 74019

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2014
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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