FORM 1023-EZ for AMERICAN CANCER ASSOCIATION INC

Field Data
EIN 84-2566841
Case Number EO-2019246-000262
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN CANCER ASSOCIATION INC
Organization’s Mailing Address 307 EAST 89TH STREET UNIT E
City NEW YORK
State NY
ZIP 10128
Accounting period End 12
Primary contact name JEAN C PIERRE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEAN PIERRE
PRESIDENT/DIRECTOR
307 EAST 89TH STREET UNIT E
NEW YORK NY 10128

Officer/Director/Trustee Two

BARBARA OUSTATCHER
SECRETARY/DIRECTOR
26 ABEEL STREET
YONKERS NY 10705

Officer/Director/Trustee Three

MARGALIE PIERRE
VICE-PRESIDENT/TREASURER
100 DANFORTH AVENUE APT 401
NEW YORK NY 10522

Officer/Director/Trustee Four

DIANA KELLY
DIRECTOR
2554 LINCOLN BLVD
VENICE CA 90291

Officer/Director/Trustee Five

JERRICA RAI WHITLOCK
DIRECTOR
147 WEST 143TH RD
NEW YORK NY 10030

Organization’s website
Organization’s email AMERICANCANCERA@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/19
Organization Incorporation State NY
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 Yes
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 JEAN PIERRE
Signature Title PRESIDENT/DIRECTOR
Signature Date 8/30/19

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