FORM 1023-EZ for MOW DOWN CANCER INC

Field Data
EIN 82-4625625
Case Number EO-2018136-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOW DOWN CANCER INC
Organization’s Mailing Address 132 SHORTLEAF PINE DRIVE
City SAINT CHARLES
State MO
ZIP 63304
Accounting period End 12
Primary contact name BRETT LAFORGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRETT LAFORGE
DIRECTOR
132 SHORTLEAF PINE DRIVE
SAINT CHARLES MO 63304

Officer/Director/Trustee Two

CAROL LAFORGE
SECRETARY AND TREASURER
16051 SANDALWOOD CREEK DRIVE
WILDWOOD MO 63038

Officer/Director/Trustee Three

JENNIFER LAFORGE
VICE PRESIDENT
132 SHORTLEAF PINE DRIVE
SAINT CHARLES MO 63304

Organization’s website WWW.MOWDOWNCANCER.ORG
Organization’s email INFO@MOWDOWNCANCER.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/18
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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 BRETT LAFORGE
Signature Title DIRECTOR
Signature Date 5/11/18

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