FORM 1023-EZ for POTTAWOTAMIE COUNTY SHERIFFS OFFICE FOUNDATION
| Field | Data |
|---|---|
| EIN | 90-0599197 |
| Case Number | EO-2017242-000264 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | POTTAWOTAMIE COUNTY SHERIFFS OFFICE FOUNDATION |
| Organization’s Mailing Address | 325 N BROADWAY |
| City | SHAWNEE |
| State | OK |
| ZIP | 74801 |
| Accounting period End | 12 |
| Primary contact name | KRISTY SAMPLE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MIKE JACKSON
CHAIRMAN
36904 NEW HOPE RD
TECUMSEH OK 74873
Officer/Director/Trustee Two
MATT PETERS
VICE-CHAIRMAN
400 N BROADWAY STE C
SHAWNEE OK 74801
Officer/Director/Trustee Three
KRISTY SAMPLE
TREASURER
12750 BRANGUS RD
SHAWNEE OK 74804
Officer/Director/Trustee Four
MARGARET MOCABEE
SECRETARY
45563 ANDERSON RD
ASHER OK 74826
Officer/Director/Trustee Five
BRYAN NEWELL
MEMBER
35212 CLEAR POND RD
SHAWNEE OK 74801
| Organization’s website | |
|---|---|
| Organization’s email | PCSOF2016@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/5/2010 |
| Organization Incorporation State | OK |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | I12 - Fund Raising and/or Fund Distribution |
| 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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