FORM 1023-EZ for DANCING DAVIS SHAKING OFF CANCER FOUNDATION

Field Data
EIN 47-4612073
Case Number EO-2015208-000432
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DANCING DAVIS SHAKING OFF CANCER FOUNDATION
Organization’s Mailing Address 1453 CHARLOTTE HWY
City MOORESVILLE
State NC
ZIP 28115
Accounting period End 7
Primary contact name DAVY OVERCASH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MIKA OVERCASH
VICE PRESIDENT
1453 CHARLOTTE HWY
MOORESVILLE NC 28115

Officer/Director/Trustee Two

DAVY OVERCASH
PRESIDENT
1453 CHARLOTTE HWY
MOORESVILLE NC 28115

Officer/Director/Trustee Three

KRISTA MCLENDON
SECRETARY
1453 CHARLOTTE HWY
MOORESVILLE NC 28115

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2015
Organization Incorporation State NC
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: Yes
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
Signature Title
Signature Date

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