FORM 1023-EZ for ESP CANCER OUTREACH

Field Data
EIN 85-4328037
Case Number EO-2021102-000407
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ESP CANCER OUTREACH
Organization’s Mailing Address 1203 LAKE RIDGE LN
City ATLANTA
State GA
ZIP 30338-5761
Accounting period End 12
Primary contact name EARRON PAYTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EARRON PAYTON
PRESIDENT
1203 LAKE RIDGE LN
ATLANTA GA 30338-5761

Officer/Director/Trustee Two

TYRONE STEVENS
VICE PRESIDENT
7581 CLEAR CREEK DR
LITHONIA GA 30058-2910

Officer/Director/Trustee Three

REBEKAH WILSON
SECRETARY
8211 SOUTH STATE ST
CHICAGO IL 60619-4720

Officer/Director/Trustee Four

ERYN PAYTON
TREASURER
1090 BASCOMB FARM DRIVE
ALPHARETTA GA 30009-7137

Officer/Director/Trustee Five

JORDAN PAYTON
BOARD MEMBER
1090 BASCOMB FARM DRIVE
ALPHARETTA GA 30009-7137

Organization’s website ESPCANCEROUTREACH.ORG
Organization’s email EARRON23@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2021
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion 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 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 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 EARRON PAYTON
Signature Title PRESIDENT
Signature Date 4/1/2021

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