FORM 1023-EZ for COVINGTON CANCER FOUNDATION

Field Data
EIN 86-1972138
Case Number EO-2021093-000790
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COVINGTON CANCER FOUNDATION
Organization’s Mailing Address PO BOX 1299
City ZEBULON
State NC
ZIP 27597
Accounting period End 12
Primary contact name YULANDER COVINGTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YULANDER COVINGTON
FOUNDER / CEO
417 LILY PAD CT
ZEBULON NC 27597-9266

Officer/Director/Trustee Two

HAROLD ABRAMS
VICE PRESIDENT / CHAIRPERSON
22003 92ND AVE BSMT
JAMAICA NY 11428-1359

Officer/Director/Trustee Three

DEEVYNE YOUNG
CHIEF INFORMATION OFFICER
9201 UNIVERSITY BLVD MARTIN HALL 4
RALEIGH NC 28223-0001

Officer/Director/Trustee Four

O SIMONE WILLIAMS-COVINGTON
PROCUREMENT & ACQUISITIONS MANAGER
4520 LORD MARIO CT
RALEIGH NC 27610-4580

Organization’s website WWW.COVINGTONCANCERFOUNDATION.ORG
Organization’s email HELP@COVINGTONCANCERFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2021
Organization Incorporation State NC
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: 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 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 YULANDER COVINGTON
Signature Title FOUNDER / CEO
Signature Date 3/3/2021

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