FORM 1023-EZ for MOCCASIN CHILDREN INC

Field Data
EIN 47-2707737
Case Number EO-2015232-000484
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOCCASIN CHILDREN INC
Organization’s Mailing Address 301 S 7TH
City FAIRVIEW
State OK
ZIP 73737
Accounting period End 12
Primary contact name SHERILL GDANSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LINDA ROUS
PRESIDENT
301 S 7TH
FAIRVIEW OK 73737

Officer/Director/Trustee Two

SHARI ROWE
SECRETARY/TREASURER
254660 E COUNTY RD 53
FAIRVIEW OK 73737

Officer/Director/Trustee Three

MIKE KING
DIRECTOR
RT 1 BOX 63
SEILING OK 73663

Officer/Director/Trustee Four

LARRY ROMANNOSE
DIRECTOR
818 N FORREST AVE
WATONGA OK 73772

Officer/Director/Trustee Five

DAVID LEE
DIRECTOR
900 SE 3RD
ANADARKO OK 73005

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 Yes
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
Signature Title
Signature Date

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