FORM 1023-EZ for OKLAHOMA EMPLOYERS HEALTHCARE ALLIANCE INC

Field Data
EIN 84-4339157
Case Number EO-2021183-000256
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OKLAHOMA EMPLOYERS HEALTHCARE ALLIANCE INC
Organization’s Mailing Address 10260 N CENTRAL EXPWY SUITE 285
City DALLAS
State TX
ZIP 75231
Accounting period End 12
Primary contact name MARC CHAPPELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER DOBELBOWER
DIRECTOR
7707 SW 44TH ST
OKLAHOMA CITY OK 73179

Officer/Director/Trustee Two

SHELLY FISHER
DIRECTOR
15 E 5TH ST
TULSA OK 74103

Officer/Director/Trustee Three

DAVE HUSTED
DIRECTOR
4041 N SANTA FE AVE
OKLAHOMA CITY OK 73118

Officer/Director/Trustee Four

BRANDON LONG
DIRECTOR
211 N ROBINSON
OKLAHOMA CITY OK 73102-7103

Officer/Director/Trustee Five

PAUL MACKEY
DIRECTOR
1717 SOUTH BORDER AVE W STE 400
TULSA OK 74119

Organization’s website WWW.OEHA.ORG
Organization’s email INFO@OEHA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2020
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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 BRANDON LONG
Signature Title DIRECTOR
Signature Date 6/29/2021

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