FORM 1023-EZ for HELOWHA INTERTRIBAL CENTER

Field Data
EIN 46-5148657
Case Number EO-2015275-000237
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HELOWHA INTERTRIBAL CENTER
Organization’s Mailing Address POST OFFICE BOX 3177
City MUSKOGEE
State OK
ZIP 74464
Accounting period End 7
Primary contact name JOSEPH BOHANON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSEPH BOHANON
PRESIDENT
PO BOX 3177
MUSKOGEE OK 74402

Officer/Director/Trustee Two

GARY DAVIS
VICE-PRESIDENT
305 MOCCASIN AVENUE
TAHLEQUAH OK 74464

Officer/Director/Trustee Three

JANE DAVIS
TREASURER
2901 OAKWOOD DRIVE
PRYOR OK 74361

Officer/Director/Trustee Four

KATHIE RODRIGUES
SECRETARY
5396 EAST 81ST STREET NUMBER 618
TULSA OK 74137

Officer/Director/Trustee Five

LINDA KETCHER
AT-LARGE
ROUTE 2 BOX 878
STILWELL OK 74960

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/3/2015
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B20 - Elementary, Secondary Education, K - 12
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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
Signature Title
Signature Date

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