FORM 1023-EZ for OKEMAH COMMUNITY REUNION FOUNDATION

Field Data
EIN 35-2681408
Case Number EO-2021230-000429
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OKEMAH COMMUNITY REUNION FOUNDATION
Organization’s Mailing Address 2181 E PALM BEACH DRIVE
City CHANDLER
State AZ
ZIP 85249-4660
Accounting period End 9
Primary contact name DORISLAMKINBURTJOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DORIS LAMKIN BURT JOHNSON
DIRECTOR
2181 E PALM BEACH DRIVE
CHANDLER AZ 85249-4660

Officer/Director/Trustee Two

GLORIA DANIELS WILLIAMS
CO DIRECTOR
2236 S NOCHE DE PAZ
MESA AZ 85202-6341

Officer/Director/Trustee Three

LEON JOHNSON
STATUTORY AGENT
2181 E PALM BEACH DRIVE
CHANDLER AZ 85249-4660

Officer/Director/Trustee Four

JAMES BOOZER
OFFICER
5224 E MONTE WAY
PHOENIX AZ 85240-8348

Officer/Director/Trustee Five

BILL MOSLEY
OFFICER
1318 W 15TH STREET
TEMPE AZ 85281-6209

Organization’s website WWW.OKEMAHCOMMUNITY.COM
Organization’s email INFO@OKEMAHCOMMUNITY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/17/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 Yes
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 DORIS LAMKIN BURT JOHNSON
Signature Title DIRECTOR
Signature Date 8/16/2021

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