FORM 1023-EZ for DALTON VINER MEMORIAL FOUNDATION

Field Data
EIN 83-3713047
Case Number EO-2020177-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DALTON VINER MEMORIAL FOUNDATION
Organization’s Mailing Address 12801 SE 21ST CT
City CHACTAW
State OK
ZIP 73020-6331
Accounting period End 12
Primary contact name KRISTI BATTERSON - TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRY VINER
CHAIRMAN - PRESIDENT
12801 SE 21ST CT
CHOCTAW OK 73020-6331

Officer/Director/Trustee Two

STACY VINER
VICE CHAIRMAN - VICE PRESIDENT
12801 SE 21ST CT
CHOCTAW OK 73020-6331

Officer/Director/Trustee Three

KRISTI BATTERSON
TREASURER
13023 FAIRWAY DR
CHOCTAW OK 73020-8147

Officer/Director/Trustee Four

TRACY POWELL
SECRETARY
13023 FAIRWAY DR
CHOCTAW OK 73020-8147

Officer/Director/Trustee Five

JEFF SLAYTON
BOARD MEMBER
12800 SE 21ST CT
CHOCTAW OK 73020-6331

Organization’s website DVMFOUNDATION.ORG
Organization’s email INFO@DVMFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2019
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - 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 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 TERRY VINER
Signature Title CHAIRMAN - PRESIDENT
Signature Date 6/16/2020

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