FORM 1023-EZ for JEWELENE CHILDREN CUISINE

Field Data
EIN 81-2623477
Case Number EO-2017205-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEWELENE CHILDREN CUISINE
Organization’s Mailing Address 1905 NE 24TH ST
City OKLAHOMA CITY
State OK
ZIP 73111
Accounting period End 12
Primary contact name WILLIAM HORTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DA SOR HORTON
PRESIDENT
8605 NE 20TH ST
OKLAHOMA CITY OK 73141

Officer/Director/Trustee Two

DAVIAN JONES
VICE PRESIDENT
4716 SE 42ND ST
DEL CITY OK 73115

Officer/Director/Trustee Three

WILLIAM HORTON
COORDINATOR
1916 NE 24TH ST
OKLAHOMA CITY OK 73111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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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