FORM 1023-EZ for KIDS CANCER WEB

Field Data
EIN 83-1696499
Case Number EO-2018239-000804
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIDS CANCER WEB
Organization’s Mailing Address 33440 N 47TH WAY
City CAVE CREEK
State AZ
ZIP 85331
Accounting period End 7
Primary contact name NIKOLE JELDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIKOLE JELDEN
PRESIDENT
33440 N 47TH WAY
CAVE CREEK AZ 85331

Officer/Director/Trustee Two

DOUG JELDEN
DIRECTOR
33440 N 47TH WAY
CAVE CREEK AZ

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/18
Organization Incorporation State AZ
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 NIKOLE JELDEN
Signature Title PRESIDENT
Signature Date 8/24/18

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