FORM 1023-EZ for DOUG MILLER EVANGELISTIC ASSOCIATION INC

Field Data
EIN 47-2522195
Case Number EO-2015016-000637
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOUG MILLER EVANGELISTIC ASSOCIATION INC
Organization’s Mailing Address 200 W MAIN STREET
City WILBURTON
State OK
ZIP 74576
Accounting period End 12
Primary contact name WESLEY R CARTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUG MILLER
PRESIDENT/TRUSTEE
2521 EAST HANCOCK
MUSKOGEE OK 74403

Officer/Director/Trustee Two

STEVE MILLER
VICE PRESIDENT/TRUSTEE
213 WEST CADDO
WILBURTON OK 74578

Officer/Director/Trustee Three

ANGELA MILLER
SECRETARY/TREASURER/TRUSTEE
2521 EAST HANCOCK
MUSKOGEE OK 74403

Officer/Director/Trustee Four

BILL GREEN
TRUSTEE
9051 EAST 29TH
TULSA OK 74129

Officer/Director/Trustee Five

TRUMAN REPLOGLE
TRUSTEE
34977 HWY 51B
PORTER OK 74454

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2014
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
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
Signature Title
Signature Date

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