FORM 1023-EZ for COPE WITH ME

Field Data
EIN 47-2063245
Case Number EO-2015190-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COPE WITH ME
Organization’s Mailing Address 164 NORTH SUN ARBOR TERRACE 1054
City SALT LAKE CITY
State UM
ZIP 84116
Accounting period End 12
Primary contact name JAYCEE MCCAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAYCEE MCCAIN
PRESIDENT
164 N SUN ARBOR TERRACE 1054
SALT LAKE CITY UT 84116

Officer/Director/Trustee Two

CANDIE MCCAIN
SOCIAL WORKER
18924 ST RT 93
WELLSTON OH 45692

Officer/Director/Trustee Three

CRAIG PRICE
TRUSTEE
11466 S LOOKOUT HILL DR
SOUTH JORDAN UT 84095

Officer/Director/Trustee Four

QUINTEN KNUDSEN
SECERTARY
164 N SUN ARBOR TERRACE 1054
SALT LAKE CITY UT 84116

Officer/Director/Trustee Five

ERIK MELDE
TRUSTEE
45 W SEGO LILY STE 312
SANDY UT 84070

Organization’s website WWW.COPEWITHME.ORG
Organization’s email JAYCEE@COPEWITHME.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2014
Organization Incorporation State
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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
Signature Title
Signature Date

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