FORM 1023-EZ for AMBER-POCASSET SCHOOL EDUCATION FOUNDATION

Field Data
EIN 81-2296539
Case Number EO-2016256-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMBER-POCASSET SCHOOL EDUCATION FOUNDATION
Organization’s Mailing Address 411 E MAIN STREET
City AMBER
State OK
ZIP 73004
Accounting period End 6
Primary contact name TIFFANY TURNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELODY ANDERSON
BOARD MEMBER
215 NE ROAD
AMBER OK 73004

Officer/Director/Trustee Two

JEROMY BROWN
BOARD MEMBER
1054 COUNTY ROAD 1240
POCASSET OK 73079

Officer/Director/Trustee Three

TRAVIS JACKSON
BOARD MEMBER
1832 HWY 81
CHICKASHA OK 73018

Officer/Director/Trustee Four

BETH NORVELL
BOARD MEMBER
1610 COUNTY ROAD 1240
TUTTLE OK 73089

Officer/Director/Trustee Five

TIFFANY TURNER
INCORPORATOR
1785 HWY 81
AMBER OK 73004

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/18/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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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