FORM 1023-EZ for ELMORE TABLE TOP FOUNDATION

Field Data
EIN 85-1020538
Case Number EO-2020141-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELMORE TABLE TOP FOUNDATION
Organization’s Mailing Address 211 S MAIN STREET
City ELMORE CITY
State OK
ZIP 73433
Accounting period End 12
Primary contact name KATIE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JONI OLLER
PRESIDENT
31499 N CR 3073
ELMORE CITY OK 73433

Officer/Director/Trustee Two

SHEILA GILMORE
TREASURER
25027 E CR 1580
ELMORE CITY OK 73433

Officer/Director/Trustee Three

NANCY WARREN
VICE PRESIDENT
PO BOX 14
ELMORE CITY OK 73433

Officer/Director/Trustee Four

CARI ADAMS
SECRETARY
PO BOX 295
ELMORE CITY OK 73433

Officer/Director/Trustee Five

LAURA CARNAGIE
ACTING MEMBER
PO BOX 133
PAULS VALLEY OK 73075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A82 - Historical Preservation
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARI ADAMS
Signature Title SECRETARY
Signature Date 5/18/2020

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