FORM 1023-EZ for CHOSEN WARRIOR CANCER SUPPORT FOUNDATION

Field Data
EIN 84-4826420
Case Number EO-2020058-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHOSEN WARRIOR CANCER SUPPORT FOUNDATION
Organization’s Mailing Address 20185 E OCOTILLO RD STE 101
City QUEEN CREEK
State AZ
ZIP 85142
Accounting period End 12
Primary contact name MICHELLE TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE TUCKER
DIRECTOR
21354 S 224TH PL
QUEEN CREEK AZ 85142

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2020
Organization Incorporation State AZ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 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 MICHELLE TUCKER
Signature Title DIRECTOR
Signature Date 2/25/2020

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