FORM 1023-EZ for TEXAS COUNTY COALITION ASSOCIATION COUNTY HEALTH IMPROVEMENT ORGANIZAT

Field Data
EIN 83-0538749
Case Number EO-2018152-000105
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TEXAS COUNTY COALITION ASSOCIATION COUNTY HEALTH IMPROVEMENT ORGANIZAT
Organization’s Mailing Address 917 N MAIN ST
City GUYMON
State OK
ZIP 73942
Accounting period End 12
Primary contact name CALVIN WEISSINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANNA BROWN
DIRECTOR
917 N MAIN ST
GUYMON OK 73942

Officer/Director/Trustee Two

RACHEL JONES
DIRECTOR
RT 1 BOX A34
GUYMON OK 73942

Officer/Director/Trustee Three

JESSICA EGGER
DIRECTOR
6089 SUNSET DRIVE
GUYMON OK 73942

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/20/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DIANNA BROWN
Signature Title DIRECTOR
Signature Date 5/30/18

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