FORM 1023-EZ for HYPOTONIA FOUNDATION INC

Field Data
EIN 84-2606682
Case Number EO-2019220-000184
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HYPOTONIA FOUNDATION INC
Organization’s Mailing Address 1546 E 76TH STREET
City TULSA
State OK
ZIP 74136-7339
Accounting period End 12
Primary contact name JAIME HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAIME HENDERSON
DIRECTOR
1546 E 76TH STREET
TULSA OK 74136-7339

Officer/Director/Trustee Two

BRIAN FORSBERG
INCORPORATOR
1111 RUSK STREET APT 1006
HOUSTON TX 77002-3446

Officer/Director/Trustee Three

ASHTON MORGAN
INCORPORATOR
30615 WOODHUE COURT
SPRING TX 77386-2611

Officer/Director/Trustee Four

SUZANNE FORSBERG
INCOPORATOR
6012 S PITTSBURG AVE
TULSA OK 74135-4219

Organization’s website WWW.HYPOTONIAFOUNDATION.ORG
Organization’s email HYPOTONIAFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 JAIME HENDERSON
Signature Title DIRECTOR
Signature Date 8/6/19

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