FORM 1023-EZ for PUSH FOUNDATION

Field Data
EIN 81-2552970
Case Number EO-2016130-000340
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PUSH FOUNDATION
Organization’s Mailing Address 1301 MCCASLAND PKWY
City DUNCAN
State OK
ZIP 73533
Accounting period End 12
Primary contact name MELISSA RAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA RAY
FOUNDER/PRESIDENT
1301 MCCASLAND PKWY
DUNCAN OK 73533

Officer/Director/Trustee Two

MICHELE JOHNSON
MEMBER
3010 TIMBERCREEK RIDGE
DUNCAN OK 73533

Officer/Director/Trustee Three

LEAH MILLER
MEMBER
1605 TIMBERCREEK DR
DUNCAN OK 73533

Officer/Director/Trustee Four

AARON RAY
MEMBER
1301 MCCASLAND PKWY
DUNCAN OK 73533

Organization’s website
Organization’s email MELISSA_RAY33@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
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 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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