FORM 1023-EZ for PASTOR SUPPORT NETWORK INC

Field Data
EIN 82-0986033
Case Number EO-2017090-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PASTOR SUPPORT NETWORK INC
Organization’s Mailing Address PO BOX 5698
City EDMOND
State OK
ZIP 73083-5698
Accounting period End 12
Primary contact name JERI HOLMES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD SHERIFF
DIRECTOR AND PRESIDENT
7412 LOST FOREST DRIVE
EDMOND OK 73034

Officer/Director/Trustee Two

BARRY BRYANT
DIRECTOR AND PRESIDENT ELECT
11200 OAKLEAF LANE
OKLAHOMA CITY OK 73131

Officer/Director/Trustee Three

TODD UTZ
DIRECTOR AND SECRETARY
1903 BEDFORD DRIVE
NICHOLS HILLS OK 73116

Officer/Director/Trustee Four

VANDA WALL
DIRECTOR AND TREASURER
200 NATURE LANE
EDMOND OK 73034

Officer/Director/Trustee Five

JIM KEATING
DIRECTOR
10217 ASHEWOOD DRIVE
OKLAHOMA CITY OK 73151

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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 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
Signature Title
Signature Date

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