FORM 1023-EZ for KHANA OHANA FOUNDATION

Field Data
EIN 81-4655274
Case Number EO-2017060-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KHANA OHANA FOUNDATION
Organization’s Mailing Address 5757 E 47TH PL
City TULSA
State OK
ZIP 74135
Accounting period End 12
Primary contact name AMBER MEADORS-FOUDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL EGAN
PRESIDENT
1343 E 19TH ST
TULSA OK 74120

Officer/Director/Trustee Two

CRYSTAL ISAACS S
VICE PRESIDENT
5757 E 47TH PL
TULSA OK 74135

Officer/Director/Trustee Three

AMBER MEADORS-FOUDA
TREASURER
PO BOX 35322
TULSA OK 74153

Officer/Director/Trustee Four

SABIEL ROSE
SECRETARY
2609 E 3RD ST
TULSA OK 74104

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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