FORM 1023-EZ for FRATERNAL ORDER OF POLICE LODGE 209ASSOCIATION

Field Data
EIN 84-3605582
Case Number EO-2019343-000472
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRATERNAL ORDER OF POLICE LODGE 209ASSOCIATION
Organization’s Mailing Address P O BOX 1445
City FORT GIBSON
State OK
ZIP 74434-1445
Accounting period End 12
Primary contact name MICHELLE SMYTHE CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENT MADDOCKS
DIRECTOR
P O BOX 1445
FORT GIBSON OK 74434-1445

Officer/Director/Trustee Two

BRADEN CARR
DIRECTOR
P O BOX 1445
FORT GIBSON OK 74434-1445

Officer/Director/Trustee Three

BRIAN ANDERSON
DIRECTOR
P O BOX 1445
FORT GIBSON OK 74434-1445

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/4/2019
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y42 - Domestic Fraternal Societies
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name BRENT MADDOCKS
Signature Title DIRECTOR
Signature Date 12/6/2019

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