FORM 1023-EZ for CRASH DAVIS BENEFIT

Field Data
EIN 82-0720728
Case Number EO-2017075-000612
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CRASH DAVIS BENEFIT
Organization’s Mailing Address 29 LAKEWOOD VILLA
City COUNCIL BLUFFS
State IA
ZIP 51501-6117
Accounting period End 12
Primary contact name JAMIE MCCARTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD MCCARTY
DIRECTOR
29 LAKEWOOD VILLA
COUNCIL BLUFFS IA 51501-6117

Officer/Director/Trustee Two

JAMIE MCCARTY
OFFICER
29 LAKEWOOD VILLA
COUNCIL BLUFFS IA 51501-6117

Organization’s website CRASHCANCER.COM
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State IA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H30 - Cancer Research
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 No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
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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