FORM 1023-EZ for CANCERS A BENCH INC NFP

Field Data
EIN 85-3303838
Case Number EO-2020311-000070
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCERS A BENCH INC NFP
Organization’s Mailing Address 2324 W MINERS DR
City DUNLAP
State IL
ZIP 61525
Accounting period End 12
Primary contact name CHAD RANKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHAD RANKINS
PRESIDENT/DIRECTOR
177 YORDY ROAD
MORTON IL 61550

Officer/Director/Trustee Two

CHRISTOPHER BROADHURST
TREASURER/DIRECTOR
2324 W MINERS DR
DUNLAP IL 61525

Officer/Director/Trustee Three

NICOLE CLARK
SECRETARY
181 HAROLD MURPHY DR
MADISON AL 35756

Officer/Director/Trustee Four

PATRICK THOMPSON
DIRECTOR
10324 N HERON ROAD
DUNLAP IL 61525

Officer/Director/Trustee Five

JEAN ANN STEWART
VICE PRESIDENT
720 N E STREET
MONMOUTH IL 61462

Organization’s website
Organization’s email CMBROADHURST@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - 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 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 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 CHAD RANKINS
Signature Title PRESIDENT/DIRECTOR
Signature Date 11/4/2020

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