FORM 1023-EZ for THE BOOK SHACK LLC

Field Data
EIN 81-4370125
Case Number EO-2016319-000284
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BOOK SHACK LLC
Organization’s Mailing Address PO BOX 235
City PRAGUE
State OK
ZIP 74864
Accounting period End 12
Primary contact name DEANNA BRENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANNA BRENCE
PARTNER
36893 EW 1080
OKEMAH OK 74859

Officer/Director/Trustee Two

HOLLY JOHNSON
PARTNER
352743 EAST 990 RD
SPARKS OK 74869

Organization’s website HTTP://OKLAHOMABOOKSHACK.BLOGSPOT.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T19 - Nonmonetary Support N.E.C.
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 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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