FORM 1023-EZ for SHANNON L MARTIN FOUNDATION

Field Data
EIN 47-2162478
Case Number EO-2015282-000264
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHANNON L MARTIN FOUNDATION
Organization’s Mailing Address 4037 NEWTON STREET
City DENVER
State CO
ZIP 80211
Accounting period End 12
Primary contact name KRISTIN COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEANETTE STUAFFER-SCHORR
TREASURER
3601 NE 34TH TERRACE
KANSAS CITY MO 64117

Officer/Director/Trustee Two

KRISTIN COX
PRESIDENT
4037 NEWTON STREET
DENVER CO 80211

Officer/Director/Trustee Three

KARRIGAN BORK
SECRETARY
1005 MESQUITE DRIVE
DAVIS CA 95618

Officer/Director/Trustee Four

DANIEL HERNANDEZ
OFFICER
10638 FIRST TIMBERLANE DRIVE
NORTHFIELD MN 55057

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2014
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 Yes
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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