FORM 1023-EZ for TIAA-FORUM

Field Data
EIN 83-4243082
Case Number EO-2019218-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TIAA-FORUM
Organization’s Mailing Address 5377 S IRVINGTON AVENUE
City TULSA
State OK
ZIP 74135-7524
Accounting period End 12
Primary contact name CHERI JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEW GROTHE
PRESIDENT
3855 W 104TH DRIVE APT A
WESTMINISTER CO 80031-1937

Officer/Director/Trustee Two

ADAM BAILEY
SECRETARY
601 RIDGEWOOD AVE APT 305
MINNEAPOLIS MN 55403-3546

Officer/Director/Trustee Three

ROSS DRINEN
TREASURER
5377 S IRVINGTON AVE
TULSA OK 74135-7524

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/19
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
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 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 ROSS DRINEN
Signature Title TREASURER
Signature Date 8/2/19

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