FORM 1023-EZ for DARRYN J BENJAMIN FOUNDATION

Field Data
EIN 84-2838227
Case Number EO-2019240-000159
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DARRYN J BENJAMIN FOUNDATION
Organization’s Mailing Address 12105 S GRANITE AVE E
City BIXBY
State OK
ZIP 74008
Accounting period End 12
Primary contact name RAY COURTNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN BENJAMIN
DIRECTOR
12105 S GRANITE AVE E
BIXBY OK 74008

Officer/Director/Trustee Two

SHERON BENJAMIN
DIRECTOR
12105 S GRANITE AVE E
BIXBY OK 74008

Officer/Director/Trustee Three

PAUL DAUGHERTY
DIRECTOR
7700 S LEWIS AVE
TULSA OK 74136

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A68 - Music
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 No
Donation of funds Yes
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 JOHN BENJAMIN
Signature Title DIRECTOR
Signature Date 8/26/19

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