FORM 1023-EZ for PEARLS OF SSO FOUNDATION

Field Data
EIN 83-3925522
Case Number EO-2019105-000560
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEARLS OF SSO FOUNDATION
Organization’s Mailing Address P O BOX 13794
City OKLAHOMA CITY
State OK
ZIP 73113
Accounting period End 12
Primary contact name TIECE DEMPSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIECE DEMPSEY
PRESIDENT
920
OKLAHOMA CITY OK 73105

Officer/Director/Trustee Two

SHAUNTAE MOHAM
VICE-PRESIDENT
10808 WHITE OAK CANYON RD
OKLAHOMA CITY OK 73162

Officer/Director/Trustee Three

KIMBERLY CLAYTON
SECRETARY
11213 NW 97ST
YUKON OK 73099

Officer/Director/Trustee Four

COURTNEY JACKSON
TRESURER
3149 NW 40TH
OKLAHOMA CITY OK 73112

Officer/Director/Trustee Five

TAISHA RUFFIN
CORRESPONDENCE SECRETARY
3955 NW 122ND APT C
OKLAHOMA CITY OK 73120

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/19
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
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 TIECE DEMPSEY
Signature Title PRESIDENT
Signature Date 4/12/19

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