FORM 1023-EZ for ASSOCIATION OF NATIVE AMERICAN MEDICAL STUDENTS INC

Field Data
EIN 23-7446444
Case Number EO-2017306-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASSOCIATION OF NATIVE AMERICAN MEDICAL STUDENTS INC
Organization’s Mailing Address 1225 SOVEREIGN ROW SUITE 103
City OKLAHOMA CITY
State OK
ZIP 73108
Accounting period End 12
Primary contact name J CALEB SHAHBANDEH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASSANDRA RENDON
PRESIDENT
1225 SOVEREIGN ROW SUITE 103
OKLAHOMA CITY OK 73108

Officer/Director/Trustee Two

LACY MANUELITO
SECRETARY
1225 SOVEREIGN ROW SUITE 103
OKLAHOMA CITY OK 73108

Officer/Director/Trustee Three

J CALEB SHAHBANDEH
TREASURER
1225 SOVEREIGN ROW SUITE 103
OKLAHOMA CITY OK 73108

Officer/Director/Trustee Four

KIRSTEN CONCHA-MOORE
PRESIDENT-ELECT
1225 SOVEREIGN ROW SUITE 103
OKLAHOMA CITY OK 73108

Officer/Director/Trustee Five

AARON ROBINSON
IMMEDIATE PAST-PRESIDENT
1225 SOVEREIGN ROW SUITE 103
OKLAHOMA CITY OK 73108

Organization’s website WWW.ANAMSTUDENTS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/1975
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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