FORM 1023-EZ for BREAST CANCER ADVOCACY

Field Data
EIN 84-4872663
Case Number EO-2020177-000738
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAST CANCER ADVOCACY
Organization’s Mailing Address 3849 176TH PLACE
City HAMMOND
State IN
ZIP 46323
Accounting period End 12
Primary contact name SANDRA JACKSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAM PITTMAN
ASSOCIATE DIRECTOR
8452 S ASHLAND AVE 2A
CHICAGO IL 60620

Officer/Director/Trustee Two

JALIN SHAVERS
CFO
8452 S ASHLAND AVE 2A
CHICAGO IL 60620

Officer/Director/Trustee Three

DETRICE ROBERTS
ADMINISTRATOR
8452 S ASHLAND AVE 2A
CHICAGO IL 60620

Officer/Director/Trustee Four

SANDRA JACKSON
PRESIDENT
8452 S ASHLAND AVE 2A
CHICAGO IL 60620

Officer/Director/Trustee Five

ANTHONY DANIELS
SPECIAL EVENTS ASSOICATE
8452J S ASHLAND AVE 2A
CHICAGO IL 60620

Organization’s website
Organization’s email BUZINESS001@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 SANDRA JACKSON
Signature Title PRESIDENT
Signature Date 6/23/2020

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