FORM 1023-EZ for OKLAHOMA OPTOMETRIC STUDENT ASSOCIATION
| Field | Data |
|---|---|
| EIN | 86-1696911 |
| Case Number | EO-2021231-000274 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | OKLAHOMA OPTOMETRIC STUDENT ASSOCIATION |
| Organization’s Mailing Address | 1001 N GRAND AVE |
| City | TAHLEQUAH |
| State | OK |
| ZIP | 74464 |
| Accounting period End | 12 |
| Primary contact name | KEVIN STRUBLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMEERAH AL-SADI
PRESIDENT
1512 CREEKSIDE DR
TAHLEQUAH OK 74464
Officer/Director/Trustee Two
KEVIN STRUBLE
TREASURER
1390 N HERITAGE LN APT 88
TAHLEQUAH OK 74464
Officer/Director/Trustee Three
NATHAN KUYKENDALL
TRUSTEE
215 S LENA AVE 12
TAHLEQUAH OK 74464
Officer/Director/Trustee Four
SANDY PATRICK
ADVISOR
1001 N GRAND AVE
TAHLEQUAH OK 74464
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/26/2021 |
| Organization Incorporation State | OK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B80 - Student Services, Organizations of Students |
| 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 | No |
| Compensation of Officer director trustee | Yes |
| 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 | KEVIN STRUBLE |
| Signature Title | TREASURER |
| Signature Date | 8/17/2021 |
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