FORM 1023-EZ for THE MCINTOSH HOME FOUNDATION

Field Data
EIN 82-5425736
Case Number EO-2018128-001060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MCINTOSH HOME FOUNDATION
Organization’s Mailing Address RR 4 BOX 2656
City STILWELL
State OK
ZIP 74960
Accounting period End 12
Primary contact name KRISTA ROACH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE DAVIS
VICE PRESIDENT
26403 S581 RD
WELLING OK 74471

Officer/Director/Trustee Two

JASON LECHNER
SECRETARY
17026 E CLOVER CIR
TAHLEQUAH OK 74464

Officer/Director/Trustee Three

ROBYN TAYLOR
TREASURER
RR 1 BOX 1528-2
STILWELL OK 74960

Officer/Director/Trustee Four

KRISTA ROACH
PRESIDENT
RR 4 BOX 2656
STILWELL OK 74960

Organization’s website
Organization’s email KRISTALPC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/3/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P32 - Foster Care
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 KRISTA ROACH
Signature Title PRESIDENT
Signature Date 5/3/18

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