FORM 1023-EZ for CHILDREN AND CANCER SUPPORT FOUNDATION INC

Field Data
EIN 82-2243957
Case Number EO-2017207-000162
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHILDREN AND CANCER SUPPORT FOUNDATION INC
Organization’s Mailing Address 10502 BOYETTE CREEK BLVD
City RIVERVIEW
State FL
ZIP 33569
Accounting period End 12
Primary contact name PABLO MEJIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

YOSSUE LEYVA GUADA
DIRECTOR
3803 PRESERVE CT 303
TAMPA FL 33624

Officer/Director/Trustee Two

JENNIFER MEJIA
DIRECTOR
1110 GREENSTONE BLVD
LAKE MARY FL 32746

Officer/Director/Trustee Three

PABLO MEJIA
DIRECTOR
10502 BOYETTE CREEK BLVD
RIVERVIEW FL 33569

Organization’s website CHILDRENANDCANCERSUPPORT.ORG
Organization’s email SUPPORT@CHILDRENANDCANCERSUPPORT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/2017
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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
Signature Title
Signature Date

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