FORM 1023-EZ for ISAIAH 61 HEALING FAMILIES AND COMMUNITIES FOUNDATION

Field Data
EIN 84-4475047
Case Number EO-2020036-000378
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ISAIAH 61 HEALING FAMILIES AND COMMUNITIES FOUNDATION
Organization’s Mailing Address 2100 NORTH BROADWAY
City ADA
State OK
ZIP 74820
Accounting period End 12
Primary contact name DANA HARGUS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANA HARGUS
PRESIDENT/DIRECTOR
2100 NORTH BROADWAY
ADA OK 74820

Officer/Director/Trustee Two

NANCY STRAUGHN
VICE-PRESIDENT/DIRECTOR
4760 COUNTY ROAD 3565 LANE
ADA OK 74820

Officer/Director/Trustee Three

DERRICK MARSHALL
DIRECTOR
21650 COUNTY ROAD 3620
STONEWALL OK 74871

Officer/Director/Trustee Four

GAIL PRIEST
DIRECTOR
7800 COUNTY ROAD 1620
ROFF OK 74865

Officer/Director/Trustee Five

MICHELLE PRICE
DIRECTOR
18960 COUNTY ROAD 1569
ADA OK 74820

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
Organization’s purpose Charitable: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DANA HARGUS
Signature Title PRESIDENT/DIRECTOR
Signature Date 2/3/2020

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