FORM 1023-EZ for CASSANDRA CARES CANCER FOUNDATION INC

Field Data
EIN 86-2632509
Case Number EO-2021099-000569
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CASSANDRA CARES CANCER FOUNDATION INC
Organization’s Mailing Address 24 BRIDGESTONE DRIVE
City CONWAY
State AR
ZIP 72032
Accounting period End 12
Primary contact name SHAMEKA SIMMONS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAMEKA SIMMONS
CEO
24 BRIDGESTONE DRIVE
CONWAY AR 72032

Officer/Director/Trustee Two

SHAMEKA SIMMONS
INCORPORATOR/ORGANIZER
24 BRIDGESTONE DRIVE
CONWAY AR 72032

Officer/Director/Trustee Three

SHANDRA STEWART
DIRECTOR
43 STANWOOD LOOP
NORTH LITTLE ROCK AR 72118

Officer/Director/Trustee Four

TEMERITY JACKSON
CHAIRMAN
24 BRIDGESTONE DRIVE
CONWAY AR 72032

Organization’s website HTTPS://CASSANDRACARESCANCERFOUNDATION.GODADDYSITES.COM/
Organization’s email CASSANDRACARES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/8/2021
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support Services
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 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 SHAMEKA SIMMONS
Signature Title INCORPORATOR/ORGANIZER
Signature Date 3/31/2021

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