FORM 1023-EZ for PIRATE ACTION SPORTS PARK

Field Data
EIN 47-3877001
Case Number EO-2015139-000138
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIRATE ACTION SPORTS PARK
Organization’s Mailing Address 614 E 4TH AVE
City BRISTOW
State OK
ZIP 74010
Accounting period End 12
Primary contact name PATRICK MCCLENDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICK MCCLENDON
CHAIRMAN
614 E 4TH AVE
BRISTOW OK 74010

Officer/Director/Trustee Two

BILLY VAUGHAN
CO-CHAIRMAN
404 N MAPLE
BRISTOW OK 74010

Officer/Director/Trustee Three

JOE OLDHAM
EXECUTIVE DIRECTOR
301 W 7TH
BRISTOW OK 74010

Officer/Director/Trustee Four

MAJA BARNETT
CHIEF FINANCIAL OFFICER
216 W 7TH
BRISTOW OK 74010

Officer/Director/Trustee Five

MELISSA MERSKI
SECRETARY
129 W 11TH
BRISTOW OK 74010

Organization’s website WWW.FACEBOOK.COM/PIRATEACTIONSPORTSPARK
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/30/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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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