FORM 1023-EZ for HINTON COMMUNITY HEALTH ORGANIZATION INC

Field Data
EIN 47-5090503
Case Number EO-2015265-000145
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HINTON COMMUNITY HEALTH ORGANIZATION INC
Organization’s Mailing Address PO BOX T
City BINGER
State OK
ZIP 73009
Accounting period End 12
Primary contact name DUSTIN COMPTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DUSTIN COMPTON
GENERAL COUNSEL
15193 WATER TOWEWR ROAD
BINGER OK 73009

Officer/Director/Trustee Two

BOB BASSE
PRESIDENT
PO BOX 945
HINTON OK 73047

Officer/Director/Trustee Three

DONNIE DAWSON
VICE PRESIDENT
1132 W CUMMINS RD
HINTON OK 73047

Officer/Director/Trustee Four

JAWANA HOUSE
SECRETARY
12070 CS 2620
HINTON OK 73047

Officer/Director/Trustee Five

BEVERLY BALL
TREASURER
410 N MAX
HINTON OK 73047

Organization’s website
Organization’s email DUSTIN@COMPTONLAWFIRM.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/18/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 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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