FORM 1023-EZ for MAXINE CISSEL HORNER FAMILY FOUNDATION

Field Data
EIN 86-2775480
Case Number EO-2021104-000196
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAXINE CISSEL HORNER FAMILY FOUNDATION
Organization’s Mailing Address 136 N GREENWOOD AVENUE
City TULSA
State OK
ZIP 74120
Accounting period End 12
Primary contact name SHARI TISDALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHARI TISDALE
CEO
7737 S MINGO ROAD APT 908
TULSA OK 74133

Officer/Director/Trustee Two

DONALD M HORNER JR
PRESIDENT-CEO
1238 W READING STREET
TULSA OK 74127

Officer/Director/Trustee Three

COREY TISDALE
BOARD MEMBER
4500 S FOUR MILE RUN DRIVE 219
ARLINGTON VA 22204

Officer/Director/Trustee Four

WILLIAM L TISDALE
BOARD MEMBER
7737 S MINGO ROAD APT 908
TULSA OK 74133

Officer/Director/Trustee Five

KATHRYN HORNER
BOARD MEMBER
1238 W READING STREET
TULSA OK 74127

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/24/2021
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A90 - Arts Service Organizations and Activities
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 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 SHARI TISDALE
Signature Title CEO
Signature Date 4/7/2021

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