FORM 1023-EZ for LATINX CANCER ALLIANCE INC

Field Data
EIN 86-2114382
Case Number EO-2021120-000163
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LATINX CANCER ALLIANCE INC
Organization’s Mailing Address 1000 REXHILL COURT
City APEX
State NC
ZIP 27502
Accounting period End 12
Primary contact name MARIANA GONZALEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIANA GONZALEZ
PRES&TREAS&SEC&CEO&F
1000 REXHILL COURT
APEX NC 27502

Officer/Director/Trustee Two

TERRY WHITE
DIRECTOR
PO BOX 32421
JUNEAU AK 99803

Officer/Director/Trustee Three

CESAR RODRIGUEZ
DIRECTOR
1100 TUNNEL RD
ASHEVILLE NC 28805

Officer/Director/Trustee Four

KARUPPIAH KANNAN
DIRECTOR
35 LANSDOWNE ST
CAMBRIDGE MA 02139

Organization’s website LATINXCANCERALLIANCE.ORG
Organization’s email MARIANA.GONZALEZ@LATINXCANCERALLIANCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/15/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 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 MARIANA GONZALEZ
Signature Title PRES&TREAS&SEC&CEO&F
Signature Date 4/28/2021

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