FORM 1023-EZ for ASSOCIATION OF CHRISTIAN ADMINISTRATORS

Field Data
EIN 86-2308273
Case Number EO-2021095-000665
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ASSOCIATION OF CHRISTIAN ADMINISTRATORS
Organization’s Mailing Address 3757 SOUTHRIDGE LANE NE
City PIEDMONT
State OK
ZIP 73078
Accounting period End 12
Primary contact name JONATHAN ROGERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DERALD GLOVER
DIRECTOR
3757 SOUTHRIDGE LANE NE
PIEDMONT OK 73078

Officer/Director/Trustee Two

DAVID PENNINGTON
DIRECTOR
6025 N BARNES AVENUE
OKLAHOMA CITY OK 73078

Officer/Director/Trustee Three

STEPHONI CASE
DIRECTOR
3301 N STATE STREET
OKLAHOMA CITY OK 73112

Officer/Director/Trustee Four

THOMAS STILES
DIRECTOR
404 HERITAGE DRIVE
FORT GIBSON OK 74434

Officer/Director/Trustee Five

KEITH WELDON
DIRECTOR
PO BOX 325
CALUMET OK 73014

Organization’s website HTTPS://WWW.NATIONALACA.ORG/
Organization’s email OKLAHOMAACA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 DERALD GLOVER
Signature Title DIRECTOR
Signature Date 3/8/2021

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