FORM 1023-EZ for NEHEMIAH INITIATIVE ASSOCIATION OFALTUS OK

Field Data
EIN 84-2927262
Case Number EO-2019248-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEHEMIAH INITIATIVE ASSOCIATION OFALTUS OK
Organization’s Mailing Address 2809 GETTYSBURG DR
City ALTUS
State OK
ZIP 73521-1283
Accounting period End 12
Primary contact name GARDINER DOUG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN HELIN
DIRECTOR
1217 WENDY LANE
ALTUS OK 73521-1290

Officer/Director/Trustee Two

KEVIN BAKER
DIRECTOR
20388 E COUNTY ROAD 158
ALTUS OK 73521-8219

Officer/Director/Trustee Three

DOUGLAS GARDINER
DIRECTOR
2809 GETTYSBURG DR
ALTUS OK 73521-1283

Organization’s website
Organization’s email DGARDINER@CABLEONE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Correctness Declaration Yes
Signature Name DOUGLAS GARDINER
Signature Title DIRECTOR
Signature Date 9/3/19
EIN 84-2927262
Case Number EO-2019248-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NEHEMIAH INITIATIVE ASSOCIATION OF ALTUS OK
Organization’s Mailing Address 2809 GETTYSBURG DR
City ALTUS
State OK
ZIP 73521-1283
Accounting period End 12
Primary contact name GARDINER DOUG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN HELIN
DIRECTOR
1217 WENDY LANE
ALTUS OK 73521-1290

Officer/Director/Trustee Two

KEVIN BAKER
DIRECTOR
20388 E COUNTY ROAD 158
ALTUS OK 73521-8219

Officer/Director/Trustee Three

DOUGLAS GARDINER
DIRECTOR
2809 GETTYSBURG DR
ALTUS OK 73521-1283

Organization’s website
Organization’s email DGARDINER@CABLEONE.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Correctness Declaration Yes
Signature Name DOUGLAS GARDINER
Signature Title DIRECTOR
Signature Date 9/3/19

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