FORM 1023-EZ for OKLAHOMA INTER TRIBAL DIABETES COALITION

Field Data
EIN 90-0952207
Case Number EO-2016116-000219
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OKLAHOMA INTER TRIBAL DIABETES COALITION
Organization’s Mailing Address 1921 STONECIPHER BLVD
City ADA
State OK
ZIP 74820-3439
Accounting period End 6
Primary contact name SHON MCCAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHON MCCAGE
CHAIR
1921 STONCIPHER BLVD
ADA OK 74820-3439

Officer/Director/Trustee Two

KIM LITTLE
VICE CHAIR
1921 STONECIPHER BLVD
ADA OK 74820-3439

Officer/Director/Trustee Three

LEE ANN SHERRILL
SECRETARY
1921 STONECIPHER BLVD
ADA OK 74820-3439

Officer/Director/Trustee Four

LEA CAUFIELD
TREASURER
1921 STONECIPHER BLVD
ADA OK 74820-3439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2013
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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