FORM 1023-EZ for OMORIBE PROJECT INCORPORATED

Field Data
EIN 81-2169876
Case Number EO-2016162-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OMORIBE PROJECT INCORPORATED
Organization’s Mailing Address PO BOX 1261
City SAND SPRINGS
State OK
ZIP 74063
Accounting period End 12
Primary contact name CHERYL DAVIDSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHERYL DAVIDSON
PRESIDENT
5234 N 116TH WEST AVE
SAND SPRINGS OK 74063

Officer/Director/Trustee Two

DAVID LOGSDON
TREASURER
21838 WEST 13TH STREET S
SAND SPRINGS OK 74063

Officer/Director/Trustee Three

JOHN ROUNTREE
VICE PRESIDENT
PO BOX 363
BARTLESVILLE OK 74005

Officer/Director/Trustee Four

DALE DAVIDSON
N/A
5234 N 116TH WEST AVE
SAND SPRINGS OK 74063

Officer/Director/Trustee Five

SHELLY WRIGHT
SECRETARY
11410 S 337 W AVE
BRISTOW OK 74010

Organization’s website WWW.OMORIBEPROJECT.ORG
Organization’s email CHERYL@OMORIBEPROJECT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
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 Yes
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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