FORM 1023-EZ for JUNIOR OCIELETA CLUB OF CLAREMORE

Field Data
EIN 81-2848014
Case Number EO-2016162-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JUNIOR OCIELETA CLUB OF CLAREMORE
Organization’s Mailing Address PO BOX 921
City CLAREMORE
State OK
ZIP 74018
Accounting period End 12
Primary contact name LYNSEY SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LYNSEY SIMMONS
PRESIDENT
2999 W BERWICK
CLAREMORE OK 74017

Officer/Director/Trustee Two

NICHOLE POTTER
VICE-PRESIDENT
19237 E POTTER CIRCLE
CLAREMORE OK 74019

Officer/Director/Trustee Three

SAVANNAH HADDOCK
SECRETARY
8069 SILVERADO ROAD
CLAREMORE OK 74019

Officer/Director/Trustee Four

LACY CRISSUP
TREASURER
10085 CIRCLE DRIVE
CLAREMORE OK 74019

Organization’s website HTTP://JOCLAREMORE.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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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