FORM 1023-EZ for CARE4CANCER

Field Data
EIN 85-0791480
Case Number EO-2020115-000187
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CARE4CANCER
Organization’s Mailing Address 132 SOUTH STATE STREET
City SALT LAKE CITY
State UT
ZIP 84111
Accounting period End 12
Primary contact name CONRAD MICHAEL SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY WILKINSON
DIRECTOR
8300 BLUFF SPRINGS RD 1634
AUSTIN TX 78744

Officer/Director/Trustee Two

STEPHANIE LAPENSEE
DIRECTOR
132 SOUTH STATE STREET
SALT LAKE CITY UT 84111

Officer/Director/Trustee Three

CONRAD SMITH
DIRECTOR
132 SOUTH STATE STREET
SALT LAKE CITY UT 84111

Organization’s website WWW.C4CANCER.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/22/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
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 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 STEPHANIE LAPENSEE
Signature Title DIRECTOR
Signature Date 4/22/2020

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