FORM 1023-EZ for SISTERS AGAINST RARE CERVICAL CANCERS

Field Data
EIN 82-3696493
Case Number EO-2018026-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SISTERS AGAINST RARE CERVICAL CANCERS
Organization’s Mailing Address PO BOX 227
City WALLBURG
State NC
ZIP 27373
Accounting period End 12
Primary contact name SHANNON VILLALBA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARTHA HITE
PRESIDENT
4288 WALLBURG RD
WINSTON SALEM NC 27107

Officer/Director/Trustee Two

MICAELA JOHNSON
VICE-PRESIDENT
2154 STREAMVIEW CT
OFALLON IL 62269

Officer/Director/Trustee Three

BILIE JEAN DAIGLE
SECRETARY
14 PRATT STREET
BRISTOL CT 6010

Officer/Director/Trustee Four

SHANNON VILLALBA
ATTORNEY REPRESENTATIVE
1329 E KEMPER ROAD SUITE 4100C
CINCINNATI OH 45246

Organization’s website HTTPS://WWW.RARECERVICALCANCERS.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/17
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 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 SHANNON VILLALBA
Signature Title ATTORNEY REPRESENTATIVE
Signature Date 1/24/18

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