FORM 1023-EZ for KISMET - EMPOWERING HEALTH ACCESS INC

Field Data
EIN 83-2381036
Case Number EO-2020038-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KISMET - EMPOWERING HEALTH ACCESS INC
Organization’s Mailing Address 614 LITTLE RIVER RD
City NORMAN
State OK
ZIP 73071
Accounting period End 12
Primary contact name JULIA TOMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

J ZACHARY PORTERFIELD
CEO
614 LITTLE RIVER RD
NORMAN OK 73071

Officer/Director/Trustee Two

JULIA TOMAN
COO
303 W FRANCES AVE
TAMPA FL 33602

Officer/Director/Trustee Three

MELYNDA OUSSAYEF
CFO
9 W 131ST STREET APT 4
NEW YORK NY 10037

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T01 - Alliance/Advocacy Organizations
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 No
Compensation of Officer director trustee No
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 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 JULIA TOMAN
Signature Title COO
Signature Date 2/5/2020

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