FORM 1023-EZ for CAETLIN MARIE CHILDRENS FOUNDATION

Field Data
EIN 86-1679670
Case Number EO-2021081-000748
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAETLIN MARIE CHILDRENS FOUNDATION
Organization’s Mailing Address 1600 E MAIN ST
City WILBURTON
State OK
ZIP 74578
Accounting period End 1
Primary contact name NICHOLAS CHATLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS CHATLEY
PRESIDENT
1601 E MAIN ST
WILBURTON OK 74578

Officer/Director/Trustee Two

ANTHONY FLINSPACH
CEO
1600 E MAIN ST
WILBURTON OK 74578

Officer/Director/Trustee Three

ASHTON GOMEZ
DIRECTOR
1306 E ROCK ISLAND AVE
WILBURTON OK 74578

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name NICHOLAS CHATLEY
Signature Title PRESIDENT
Signature Date 1/26/2021

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