FORM 1023-EZ for THE WHITE SUTTON SYNDROME FOUNDATION

Field Data
EIN 82-5373486
Case Number EO-2019161-000336
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE WHITE SUTTON SYNDROME FOUNDATION
Organization’s Mailing Address 4805 S POPLAR AVE
City BROKEN ARROW
State OK
ZIP 74011
Accounting period End 12
Primary contact name WESLEY R CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMANDA COUCH
PRESIDENT/ DIRECTOR
4805 S POPLAR AVE
BROKEN ARROW OK 74011

Officer/Director/Trustee Two

RENEA BANKS
VICE PRESIDENT/ DIRECTOR
2211 S ASPEN AVE
BROKEN ARROW OK 74012

Officer/Director/Trustee Three

JOSHUA COUCH
SECRETARY/ DIRECTOR
4805 S POPLAR AVE
BROKEN ARROW OK 74011

Officer/Director/Trustee Four

ANGELO BANKS
TREASURER/ DIRECTOR
2211 S ASPEN AVE
BROKEN ARROW OK 74012

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G80 - Specifically Named Diseases
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
Compensation of Officer director trustee Yes
Donation of funds Yes
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 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 AMANDA COUCH
Signature Title PRESIDENT/ DIRECTOR
Signature Date 6/6/19

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