FORM 1023-EZ for DA NEXT LEVEL

Field Data
EIN 46-4351508
Case Number EO-2016285-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DA NEXT LEVEL
Organization’s Mailing Address 1719 SOUTH JACKSON AVENUE
City TULSA
State OK
ZIP 74107
Accounting period End 12
Primary contact name CHIVAS MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHIVAS MILLER
DIRECTOR
1719 SOUTH JACKSON A
TULSA OK 74107

Officer/Director/Trustee Two

CARLOS COLE
BOARD MEMBER
2305 WEST NEWTON PLACE
TULSA OK 74127

Officer/Director/Trustee Three

JOHN JONES
BOARD MEMBER
4006 SOUTH NEW HAVEN AVENUE
TULSA OK 74135

Officer/Director/Trustee Four

LAURA PEEPLES
BOARD MEMBER
1914 NORTH OLYMPIA AVENUE
TULSA OK 74127

Officer/Director/Trustee Five

JAMES LINDSAY
BOARD MEMBER
5336 EAST 81ST STREET APT 1125
TULSA OK 74137

Organization’s website WWW.DANEXTLEVEL.US
Organization’s email DANEXTLEVELUP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/2013
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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