FORM 1023-EZ for CANCER CARE AMERICAS NFP

Field Data
EIN 83-3219899
Case Number EO-2019036-000820
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCER CARE AMERICAS NFP
Organization’s Mailing Address 5318 W DEVON AVE
City CHICAGO
State IL
ZIP 60646
Accounting period End 12
Primary contact name GEORGE NELLAMATTATHIL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GEORGE NELLAMATTATHIL
PRESIDENT
5318 W DEVON AVE
CHICAGO IL 60646

Officer/Director/Trustee Two

ELIZABETH NELLAMATTATHIL
SECRETARY
1641 PICKWICK LN
GLENVIEW IL 60026

Officer/Director/Trustee Three

SYED GHAZI
TREASURER
6512 N SPAULDING
LINCOLNWOOD IL 60672

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State IL
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: Yes
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 Yes
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 GEORGE NELLAMATTATHIL
Signature Title PRESIDENT
Signature Date 1/21/19

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