FORM 1023-EZ for SERVI INSTITUTE

Field Data
EIN 83-0687622
Case Number EO-2019224-000151
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVI INSTITUTE
Organization’s Mailing Address 6608 N WESTERN AVE NUM 337
City OKLAHOMA CITY
State OK
ZIP 73116
Accounting period End 12
Primary contact name PETER G EPPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER EPPS
PRESIDENT
2207 NW 19TH ST
OKLAHOMA CITY OK 73107

Officer/Director/Trustee Two

ANGELA JENNINGS
SECRETARY
2403 W 9TH ST
STILLWATER OK 74074

Officer/Director/Trustee Three

AMANDA HERRICK
DIRECTOR
13913 STERLINGTON
EDMOND OK 73013

Officer/Director/Trustee Four

JAMES SILK
DIRECTOR
6813 NW 64TH TERRACE
OKLAHOMA CITY OK 73132

Officer/Director/Trustee Five

PATRICK OBRIEN
DIRECTOR
201 S CREEKDALE DRIVE NUM 802
NORMAN OK 73072

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/26/18
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A26 - Arts Council/Agency
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 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 PETER EPPS
Signature Title PRESIDENT
Signature Date 8/7/19

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