| Field | Data |
|---|---|
| EIN | 87-1640017 |
| Case Number | EO-2021270-000736 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | COLLEGIATE CANCER ASSOCIATION INC |
| Organization’s Mailing Address | 124 DOVER COURT |
| City | HURDLE MILLS |
| State | NC |
| ZIP | 27541-7520 |
| Accounting period End | 6 |
| Primary contact name | SLOANE FUSSELL |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
SLOANE FUSSELL
PRESIDENT
1153 SETH TURNER RD
DEEP RUN NC 28525-9510
NOAH DOVER
TREASURER
124 DOVER COURT
HURDLE MILLS NC 27541-7520
ANTON HNATOV
CHAIR OF THE BOARD
4103 BILKS WAY
WINTERVILLE NC 28590-8916
AMBER AMPARO
VICE PRESIDENT
10818 HARLEY RD
LORTON VA 22079-3906
ANAND RABARA
SECRETARY
673 BUCKLEIGH CT NW
CONCORD NC 28027-6453
| Organization’s website | N|A |
|---|---|
| Organization’s email | COLLEGIATECANCERASSOCIATION@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 2/17/2021 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B80 - Student Services, Organizations of Students |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SLOANE FUSSELL |
| Signature Title | PRESIDENT |
| Signature Date | 9/25/2021 |
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