FORM 1023-EZ for MINNESOTA COPE PROGRAM

Field Data
EIN 84-3396138
Case Number EO-2019343-000295
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MINNESOTA COPE PROGRAM
Organization’s Mailing Address 3254 BLACK OAK DRIVE
City EAGAN
State MN
ZIP 55121
Accounting period End 12
Primary contact name JENNIFER URBAN - CAF 0308-14263R
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOSES MCBRIDE
BOARD CHAIR & DIRECTOR
11668 32ND ST N
LAKE ELMO MN 55042

Officer/Director/Trustee Two

PATRICIA JONES WHYTE
VICE BOARD CHAIR & DIRECTOR
7709 FAIRLAKE DR
WAKE FOREST NC 27587

Officer/Director/Trustee Three

JOYCE GILLARD
TREASURER & DIRECTOR
1015 EDMUND AVE
ST PAUL MN 55104

Officer/Director/Trustee Four

CALVIN-ALLEN MICKEL MILLER
VICE TREASURER & DIRECTOR
337 GREYSTONE POINT
TERRY MS 39170

Officer/Director/Trustee Five

DOROTHY JEAN BARNES-GRISWOLD
DIRECTOR
3254 BLACK OAK DRIVE
EAGAN MN 55121

Organization’s website
Organization’s email DOT4COPE@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2019
Organization Incorporation State MN
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: 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 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 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 DOROTHY JEAN BARNES-GRISWOLD
Signature Title DIRECTOR
Signature Date 12/5/2019

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