FORM 1023-EZ for AMERICAN CANCER SOCIETY OF GREEN BAY INC

Field Data
EIN 82-4368340
Case Number EO-2020002-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN CANCER SOCIETY OF GREEN BAY INC
Organization’s Mailing Address 1324 FORESST AVENNUE STE 420
City STATEN ISLAND
State WI
ZIP 10302
Accounting period End 12
Primary contact name CLAUDIA STEPHEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLAUDIA STEPHEN
EXECUTIVE DIRECTOR
2221 SOUTH WEBSTER AVENUE STE 256
GREEN BAY WI 54301

Officer/Director/Trustee Two

LINCOLN PALSEY
DIRECTOR
2221 SOUTH WEBSTER AVENUE STE 256
GREEN BAY NY 54301

Officer/Director/Trustee Three

IIAN HOSANG
MANAGING DIRECTOR
1324 FOREST AVENUE STE 420
STATEN ISLAND NY 10302

Officer/Director/Trustee Five




GREEN BAY WI

Organization’s website
Organization’s email ACSOGREENBAY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2018
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 CLAUDIA STEPHEN
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/29/2019

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