FORM 1023-EZ for DONT LOOK BACK MINISTRIES INC

Field Data
EIN 81-3066239
Case Number EO-2019158-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DONT LOOK BACK MINISTRIES INC
Organization’s Mailing Address 300
City CLAREMORE
State OK
ZIP 74017
Accounting period End 6
Primary contact name CHRIS ROSE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS ROSE
PRESIDENT
300 E 9TH
CLAREMORE OK 74017

Officer/Director/Trustee Two

ERIC LONG
TREASURER
1805 COLLEGE PARK RD
CLAREMORE OK 74017

Officer/Director/Trustee Three

TOM WILLIAMS
DIRECTOR
11825 E 430 RD
CLAREMORE OK 74017

Officer/Director/Trustee Four

JOHN RAY
DIRECTOR
19325 S FIELDSTONE DR E
CLAREMORE OK 74017

Officer/Director/Trustee Five

MARK DAVIS
SECRETARY
1203 N JAY ST
CLAREMORE OK 74017

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/16
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I40 - Rehabilitation Services for Offenders
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 CHRIS ROSE
Signature Title PRESIDENT
Signature Date 6/5/19

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