FORM 1023-EZ for SAM WANDAS BIG HEART FUND

Field Data
EIN 47-2809631
Case Number EO-2015020-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAM WANDAS BIG HEART FUND
Organization’s Mailing Address 9200 N GARNETT RD
City OWASSO
State OK
ZIP 74055
Accounting period End 12
Primary contact name KAREN DROSOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GENA GUERRIERO
DIRECTOR
29501 S 4190 RD
INOLA OK 74036

Officer/Director/Trustee Two

JENNY NOBLES
DIRECTOR
10711 N 155TH E AVE
OWASSO OK 74055

Officer/Director/Trustee Three

MARIANN STANLEY
MEMBER
3305 WALNUT ST
OOLOGAH OK 74053

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More Yes
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
Signature Title
Signature Date

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