FORM 1023-EZ for BARC BROKEN ARROW RESCUE CORP

Field Data
EIN 81-5424907
Case Number EO-2017145-000308
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARC BROKEN ARROW RESCUE CORP
Organization’s Mailing Address 1308 S JUNIPER AVE
City BROKEN ARROW
State OK
ZIP 74012
Accounting period End 5
Primary contact name JJAMIE COPE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE COPE
PRESIDENT
1308 S JUNIPER AVE
BROKEN ARROW OK 74012

Officer/Director/Trustee Two

KIM ADAMS
VICE PRESIDENT
5401 NOWATA RD
BARTLESSVILLE OK 74004

Officer/Director/Trustee Three

JESSICA LINDER
SECRETARY
8111 E 124TH ST S
BIXBY OK 74012

Officer/Director/Trustee Four

LAUREN HOLMES
TERASURER
5643 S STILLWATER
STILLWATER OK 74074

Officer/Director/Trustee Five

SUZANNE LAWRENCE
REP
560 RD
TWIN OAKS OK 74136

Organization’s website HTTP://BARC4RESCUE.WIX.COM/BARC4ANIMALS
Organization’s email BARC4RESCUE@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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