FORM 1023-EZ for THYMIC CARCINOMA CENTER

Field Data
EIN 86-2591007
Case Number EO-2021100-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THYMIC CARCINOMA CENTER
Organization’s Mailing Address 621 SW MORRISON STREET SUITE 900
City PORTLAND
State OR
ZIP 97205
Accounting period End 12
Primary contact name MICHAEL DELANEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL DELANEY
PRESIDENT
16024 SOUTH ELMRIDGE STREET
OLATHE KS 66062

Officer/Director/Trustee Two

SHANNON SEMPLE
VICE PRESIDENT
311 ROCK CREEK DRIVE
NEW BERN NC 28562

Officer/Director/Trustee Three

PHILLIP GELLOTT
TREASURER
9107 WEST 129TH STREET
OVERLAND PARK KS 66213

Officer/Director/Trustee Four

GENEVIEVE KILEY
SECRETARY
16522 EADEN ROAD
OREGON CITY OR 97045

Officer/Director/Trustee Five

GIUSEPPE GIACCONE
EXECUTIVE MEDICAL DIRECTOR
330 OXFORD ROAD
NEW ROCHELLE NY 10804

Organization’s website http://www.thymiccarcinomacenter.com
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2021
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G12 - Fund Raising and/or Fund Distribution
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 Yes
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 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 MICHAEL DELANEY
Signature Title PRESIDENT
Signature Date 3/24/2021

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