FORM 1023-EZ for GOOD MOURNING BEARS INC

Field Data
EIN 82-4605377
Case Number EO-2018064-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOOD MOURNING BEARS INC
Organization’s Mailing Address 40673 N 3967 LANE
City SKIATOOK
State OK
ZIP 74070
Accounting period End 3
Primary contact name DANIELLE RUSSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIELLE RUSSELL
PRESIDENT
40673 N 3967 LANE
SKIATOOK OK 74070

Officer/Director/Trustee Two

LACIE YOUNG
VICE PRESIDENT
7926 E 60TH ST APT 88-1
TULSA OK 74145

Officer/Director/Trustee Three

KELLY GURVIS
BOARD MEMBER
22 BEDFORD ROAD
MUNDELEIN IL 60060

Officer/Director/Trustee Four

ALEXA THORNTON
BOARD MEMBER
1204 W BENNETT ST
SALEM IL 62881

Officer/Director/Trustee Five

PEGGY HAMPSHIRE
BOARD MEMBER
604 GREENWOOD AVE
MANNFORD OK 74044

Organization’s website HTTPS://GOODMOURNINGBEARS.WIXSITE.COM/GOODMOURNINGBEARS
Organization’s email GOODMOURNINGBEARS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/17
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 DANIELLE RUSSELL
Signature Title PRESIDENT
Signature Date 3/1/18

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