FORM 1023-EZ for GREEN COUNTRY HEALTHCARE ASSOCIATION

Field Data
EIN 82-2764293
Case Number EO-2018068-000101
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN COUNTRY HEALTHCARE ASSOCIATION
Organization’s Mailing Address 12109 E 69TH ST N
City OWASSO
State OK
ZIP 74055
Accounting period End 12
Primary contact name ROD YANCY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEE SUDBECK
DIRECTOR
12109 E 69TH ST N
OWASSO OK 74055

Officer/Director/Trustee Two

JOANNA BIRKENHOLTZ
DIRECTOR
14540 E 126TH ST N
COLLINSVILLE OK 74021

Officer/Director/Trustee Three

CARLA JACKSON
DIRECTOR
11529 S NANDINA AVE
JENKS OK 74037

Officer/Director/Trustee Four

RICKI JO NEFF
DIRECTOR
8330 DESTINY DR
SKIATOOK OK 74070

Organization’s website HTTP://GREENCOUNTRYCARESFORSENIORS.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/11/17
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARLA JACKSON
Signature Title DIRECTOR
Signature Date 3/7/18

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