FORM 1023-EZ for SSMHA INC

Field Data
EIN 82-1208023
Case Number EO-2017109-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SSMHA INC
Organization’s Mailing Address 7070 W ROCK CREEK ROAD
City NORMAN
State OK
ZIP 73072
Accounting period End 12
Primary contact name STEPHANIE EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE LUNDY
PRESIDENT
1611 BRIARCLIFF
NORMAN OK 73071

Officer/Director/Trustee Two

PENNY OBRIEN
VICE PRESIDENT
203 E DALE STREET
NORMAN OK 73069

Officer/Director/Trustee Three

STEPHANIE EDWARDS
TREASURER
1825 SW 30TH STREET
MOORE OK 73160

Officer/Director/Trustee Four

SHANTI ROOD
DIRECTOR
1601 CLASSEN DRIVE
OKLAHOMA CITY OK 73106

Officer/Director/Trustee Five

TAMMY STUTZMAN
DIRECTOR
2301 SE 38TH STREET
MOORE OK 73160

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2017
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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
Signature Title
Signature Date

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