FORM 1023-EZ for LA-PHILSHAY VILLA HOUSING INC

Field Data
EIN 84-1911765
Case Number EO-2019339-000384
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LA-PHILSHAY VILLA HOUSING INC
Organization’s Mailing Address 8301 EAST 60TH STREET
City TULSA
State OK
ZIP 74145
Accounting period End 5
Primary contact name SHERRYL FORBES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHERRYL FORBES
CEO
8301 E 60TH STREET
TULSA OK 74145

Officer/Director/Trustee Two

DAVID GRANT
TRUSTEE
6031 N GARRISON PL
TULSA OK 74106

Officer/Director/Trustee Three

SHRELMANASSER FORBES
DIRECTOR
8301 E 60TH STREET 1832
TULSA OK 74145

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2019
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
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 SHERRYL FORBES
Signature Title CEO
Signature Date 12/3/2019

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