FORM 1023-EZ for CROSS OUT CANCER INC
| Field | Data |
|---|---|
| EIN | 47-3757795 |
| Case Number | EO-2015113-000061 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CROSS OUT CANCER INC |
| Organization’s Mailing Address | 3041 DOMINION COURT |
| City | SAFETY HARBOR |
| State | FL |
| ZIP | 34695 |
| Accounting period End | 12 |
| Primary contact name | JULIA S LEE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
ELIZABETH DOLAN
DIRECTOR, PRESIDENT, TREASURER
3041 DOMINION COURT
SAFETY HARBOR FL 34695
Officer/Director/Trustee Two
SHEILA REICHERT
DIRECTOR, VICE PRESIDENT
227 HIGHLAND WOODS DRIVE
SAFETY HARBOR FL 34695
Officer/Director/Trustee Three
RAYMOND RODRIGUEZ
DIRECTOR, SECRETARY
4605 GULFWINDS DRIVE
LUTZ FL 33558
Officer/Director/Trustee Four
TIMOTHY DOLAN
ASSISTANT TREASURER
3041 DOMINION COURT
SAFETY HARBOR FL 34695
| Organization’s website | N/A |
|---|---|
| Organization’s email | LIZZIE.L.DOLAN@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/10/2015 |
| Organization Incorporation State | FL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E12 - 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 | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| 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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