FORM 1023-EZ for SHOP WITH A COP

Field Data
EIN 80-0301693
Case Number EO-2017235-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHOP WITH A COP
Organization’s Mailing Address 107 W MAIN ST
City SMITHVILLE
State MO
ZIP 64089-9384
Accounting period End 12
Primary contact name CLAIRE PRINDABLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAIRE PRINDABLE
PRESIDENT
107 W MAIN ST
SMITHVILLE MO 64089-9384

Officer/Director/Trustee Two

SAMANTHA NASH
TREASURER
107 W MAIN ST
SMITHVILLE MO 64089-9384

Officer/Director/Trustee Three

ALEX JOHNSON
SECRETARY
107 W MAIN ST
SMITHVILLE MO 64089-9384

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2008
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date
EIN 80-0301693
Case Number EO-2014234-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHOP WITH A COP
Organization’s Mailing Address 107 WEST MAIN ST
City SMITHVILLE
State MO
ZIP 64089-8366
Accounting period End 12
Primary contact name JOANNA MAYER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOANNA MAYER
PRESIDENT
107 WEST MAIN ST
SMITHVILLE MO 64089-8366

Officer/Director/Trustee Two

MICHEAL MORRIS
SECRETARY
107 WEST MAIN ST
SMITHILLE MO 64089-8366

Officer/Director/Trustee Three

MICHAEL LOGAN
TREASURER
107 WEST MAIN ST
SMITVHILLE MO 64089-8366

Organization’s website WWW.SMITHVILLESHOPWITHACOP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2008
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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