FORM 1023-EZ for CONNECTED THROUGH CANCER

Field Data
EIN 83-2103855
Case Number EO-2019079-000486
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CONNECTED THROUGH CANCER
Organization’s Mailing Address 784 CHAPMAN ST
City JONESBORO
State GA
ZIP 30238
Accounting period End 9
Primary contact name NATHANIEL STEPHENSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHANIEL STEPHENSON
FOUNDER/CEO
784 CHAPMAN ST
JONESBORO GA 30238

Officer/Director/Trustee Two

LISA HARRIS
SECRETARY
4201 JEFFERSON SQUARE COURT
DECATOR GA 30030

Officer/Director/Trustee Three

SHAJAMIA AXSON
BOARD MEMBER
9501 ARBOR OAK LANE
JACKSONVILLE FL 32208

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/3/18
Organization Incorporation State GA
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: Yes
Scientific: Yes
Literary: No
Public Safety: Yes
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 NATHANIEL STEPHENSON
Signature Title FOUNDER/CEO
Signature Date 3/18/19

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