FORM 1023-EZ for BETTYS BREAST CANCER FOUNDATION CORP

Field Data
EIN 86-2583621
Case Number EO-2021218-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETTYS BREAST CANCER FOUNDATION CORP
Organization’s Mailing Address 180 GARFIELD AVE
City MINEOLA
State NY
ZIP 11501
Accounting period End 12
Primary contact name BETTY RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETTY RODRIGUEZ
DIRECTOR PRESIDENT
180 GARFIELD AVE
MINEOLA NY 11501

Officer/Director/Trustee Two

ANDREA ORTIZ
SECRETARY
8 S EMERSON AVENUE
AMITY HARBOR NY 11701

Officer/Director/Trustee Three

IRENE GORDON
TREASURER
30 NEWPORT AVENUE
SELDEN NY 11784

Officer/Director/Trustee Four

MONICA DOS SANTOS
OFFICER
501 GREENWOOD CT
WEST HEMPSTEAD NY 11552

Officer/Director/Trustee Five

AMPARO GOMEZ
OFFICER
2310 143 STREET FIRST FLOOR
WHITESTONE NY 11357

Organization’s website
Organization’s email BETTYSBREASTCANCERFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/25/2021
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G32 - Breast Cancer
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
Gaming Activity No
Disaster relief assistance Yes
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 Yes
Correctness Declaration Yes
Signature Name BETTY RODRIGUEZ
Signature Title DIRECTOR PRESIDENT
Signature Date 8/4/2021

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