FORM 1023-EZ for HEMET PD CANCER AWARENESS

Field Data
EIN 84-3139117
Case Number EO-2020062-000518
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEMET PD CANCER AWARENESS
Organization’s Mailing Address 450 E LATHAM AVE
City HEMET
State CA
ZIP 92543
Accounting period End 12
Primary contact name JAMIE GONZALEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE GONZALEZ
DIRECTOR
450 E LATHAM AVE
HEMET CA 92543

Officer/Director/Trustee Two

SCOTT MARSHALL
DIRECTOR
450 E LATHAM AVE
HEMET CT 92543

Officer/Director/Trustee Three

ALBERT MARTINEZ
DIRECTOR
450 E LATHAM AVE
HEMET CA 92543

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2020
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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 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 JAMIE GONZALEZ
Signature Title DIRECTOR
Signature Date 2/28/2020

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