FORM 1023-EZ for MISS WEARYS FOUNDATION

Field Data
EIN 82-0792409
Case Number EO-2017090-000298
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MISS WEARYS FOUNDATION
Organization’s Mailing Address 130 NORTH GREENWOOD AVE SUITE 124-A
City TULSA
State OK
ZIP 74120
Accounting period End 12
Primary contact name HUGH M ROBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICE PRATT
PRESIDENT
1925 NORTH NOGALES AVE
TULSA OK 74127

Officer/Director/Trustee Two

GWYNETTE OLDEN
TREASURER
512 EAST 40TH STREET NORTH
TULSA OK 74106

Officer/Director/Trustee Three

SHELLEY THOMAS
VICE PRESIDENT
2108 NORTH VANCOUVER AVE
TULSA OK 74127

Officer/Director/Trustee Four

THEDA RUFFIN
SECRETARY
9710 SOUTH 78TH AVE APT 10307
TULSA OK 74133

Officer/Director/Trustee Five

RHONDA JOHNSON
DIRECTOR
26048 EAST 93RD STREET SOUTH
BROKEN ARROW OK 74014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 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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