FORM 1023-EZ for ST ELMO CANCER RESEARCH FUND INC

Field Data
EIN 47-3263745
Case Number EO-2015061-000438
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ST ELMO CANCER RESEARCH FUND INC
Organization’s Mailing Address 9 PALMER ST
City STAMFORD
State CT
ZIP 06907
Accounting period End 1
Primary contact name MATTHEW MCCULLOUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW MCCULLOUGH
PRESIDENT / DIRECTOR
9 PALMER ST
STAMFORD CT 06907

Officer/Director/Trustee Two

GABE GUILLIOS
SECRETARY / DIRECTOR
3036 FARRIOR RD
RALEIGH NC 27636

Officer/Director/Trustee Three

MICHAEL SCHNEIDER
TREASURER / DIRECTOR
233 WEBSTER ST
NEEDHAM MA 02494

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/2015
Organization Incorporation State CT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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