FORM 1023-EZ for GRAHAM CANCER SUPPORT GROUP

Field Data
EIN 84-2666413
Case Number EO-2019238-000332
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAHAM CANCER SUPPORT GROUP
Organization’s Mailing Address PO BOX 1084
City ROBBINSVILLE
State NC
ZIP 28771
Accounting period End 12
Primary contact name VICKI WALSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VICKI WALSH
PRESIDENT
385 LOWER MILL CREEK
ROBBINSVILLE NC 28771

Officer/Director/Trustee Two

MARTY HUSKINS
VICE PRESIDENT
265 GRACE LANE
ROBBINSVILLE NC 28771

Officer/Director/Trustee Three

TRESSIE PHILLIPS
SECRETARY
60 HIGH SPLENDOR
ROBBINSVILLE NC 28771

Officer/Director/Trustee Four

PAM SHAFFER
TREASURER
2672 ATOAH RD
ROBBINSVILLE NC 28771

Officer/Director/Trustee Five

TIM ELLER
MEDIA COORDINATOR
1364 ATOAH RD
ROBBINVILLE NC 28771

Organization’s website
Organization’s email WALVI@AOL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/19
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P60 - Emergency Assistance (Food, Clothing, Cash)
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 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 VICKI WALSH
Signature Title PRESIDENT
Signature Date 8/22/19

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