FORM 1023-EZ for THE SHOP DOCS

Field Data
EIN 84-4839349
Case Number EO-2020113-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE SHOP DOCS
Organization’s Mailing Address 3921 BINGHAM HILL ROAD
City FORT COLLINS
State CO
ZIP 80521
Accounting period End 12
Primary contact name ANNETTE GROTHEER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNETTE GROTHEER
MEMBER
902
MIAMI BEACH FL 33139

Organization’s website HTTPS://WWW.THESHOPDOCS.ORG/
Organization’s email HELLO@THESHOPDOCS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2019
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 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 ANNETTE GROTHEER
Signature Title MEMBER
Signature Date 4/20/2020

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