FORM 1023-EZ for SPARK FOUNDATION INCORPORATED

Field Data
EIN 83-2102488
Case Number EO-2018298-000287
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPARK FOUNDATION INCORPORATED
Organization’s Mailing Address 716 EASTVIEW DR
City YUKON
State OK
ZIP 73099
Accounting period End 12
Primary contact name ANDRES PERILLA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDRES PERILLA
PRESIDENT
716 EASTVIEW DR
YUKON OK 73099

Officer/Director/Trustee Two

RACHELE CLEGG
VICE PRESIDENT, COMMUNICATIONS
6410 ARLINGTON BLVD APT 224
FALLS CHURCH VA 22042

Officer/Director/Trustee Three

REY RIVAS
VICE PRESIDENT, SCHOLARSHIP
4037 DIVISION ST
METAIRIE LA 70002

Officer/Director/Trustee Four

BIANCA HERRERA
VICE PRESIDENT, DEVELOPMENT
7122 S SHERIDAN RD
TULSA OK 74133

Officer/Director/Trustee Five

FATIMA SHAKRA
VICE PRESIDENT, PUBLIC RELATIONS
532 EAST 13TH STREET
BARTLESVILLE OK 74003

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 Yes
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 ANDRES PERILLA
Signature Title PRESIDENT
Signature Date 10/23/18

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