FORM 1023-EZ for TROOPER LEON BENCH FOUNDATION

Field Data
EIN 81-4530381
Case Number EO-2016358-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TROOPER LEON BENCH FOUNDATION
Organization’s Mailing Address 7021 N 197TH EAST CT
City OWASSO
State OK
ZIP 74055
Accounting period End 12
Primary contact name DAN BEIRUTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEN STAFFORD
PRESIDENT
7021 N 197TH E CT
OWASSO OK 74055

Officer/Director/Trustee Two

JOAN FINGERLE
SECRETARY TREASURER
2275 W LOWRY RD
CLAREMORE OK 74017

Officer/Director/Trustee Three

CHELSEA PIERETH
TRUSTEE
214 CAROLINA ST
BOLINGBROOK IL 60490

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/28/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M40 - Safety Education
Organization’s purpose Charitable: Yes
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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