FORM 1023-EZ for WAGONER PARROTHEAD CLUB

Field Data
EIN 84-2713550
Case Number EO-2020143-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WAGONER PARROTHEAD CLUB
Organization’s Mailing Address 1705 HONEYSUCKLE DRIVE
City WAGONER
State OK
ZIP 74467
Accounting period End 12
Primary contact name JEFF HAMILTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF HAMILTON
PAST PRESIDENT
1705 HONEYSUCKLE DRIVE
WAGONER OK 74467

Officer/Director/Trustee Two

KEVIN FARMER
PRESIDENT
26650 EAST 714 ROAD
WAGONER OK 74467

Officer/Director/Trustee Three

JASON HARRIS
VICE PRESIDENT
1100 SW 3RD
WAGONER OK 74467

Officer/Director/Trustee Four

NICOLE STILWELL
SECRETARY
74690 S 280 RD
WAGONER OK 74467

Officer/Director/Trustee Five

DEBI HAMILTON
TREASURER
1705 HONEYSUCKLE DRIVE
WAGONER OK

Organization’s website
Organization’s email jeffdavidhamilton@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2013
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 KEVIN FARMER
Signature Title PRESIDENT
Signature Date 5/20/2020

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