FORM 1023-EZ for ADOPT-A-COP JOHNSTON COUNTY

Field Data
EIN 81-3754938
Case Number EO-2016274-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ADOPT-A-COP JOHNSTON COUNTY
Organization’s Mailing Address 1800 E CHEADLE RD / BOX 201
City TISHOMINGO
State OK
ZIP 73460
Accounting period End 12
Primary contact name CAROLYN COOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY COOK
CHAIRMAN
1800 E CHEADLE RD / BOX 201
TISHOMINGO OK 73460

Officer/Director/Trustee Two

CHRISTY ROUSE
VICE CHAIRMAN
6540 EGYPT RD
MILBURN OK 73450

Officer/Director/Trustee Three

KIMBERLY BENNETT
SECRETARY
607 N MAYTUBBY
TISHOMINGO OK 73460

Officer/Director/Trustee Four

CAROLYN COOK
TREASURER
1800 E CHEADLE RD / BOX 201
TISHOMINGO OK 73460

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/19/2016
Organization Incorporation State OK
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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