FORM 1023-EZ for WAGONER DUI SERVICES INC

Field Data
EIN 81-2366197
Case Number EO-2016168-000316
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WAGONER DUI SERVICES INC
Organization’s Mailing Address 316 S HAYES AVE SUITE D
City WAGONER
State OK
ZIP 74467
Accounting period End 12
Primary contact name MELISSA MCDARIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MELISSA MCDARIS
DIRECTOR
32598 E 713 RD
WAGONER OK 74467

Officer/Director/Trustee Two

SARAH JONES
DIRECTOR
28121 E 700 RD
WAGONER OK 74467

Officer/Director/Trustee Three

CHRISTIN PATTEN
DIRECTOR
903 SW 5TH ST
WAGONER OK 74467

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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