FORM 1023-EZ for NORTHEAST COLORADO CANCER RESOURCEASSOCIATION

Field Data
EIN 20-0340707
Case Number EO-2014295-000060
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHEAST COLORADO CANCER RESOURCEASSOCIATION
Organization’s Mailing Address BOX 18
City MERINO
State CO
ZIP 80741
Accounting period End 12
Primary contact name JANICE RICE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANICE RICE
PRESIDENT
816 PARK ST
STERLING CO 80751

Officer/Director/Trustee Two

JOYCE LYBARGER
VICE PRESIDENT
18189 COUNTY ROAD 30
STERLING CO 80751

Officer/Director/Trustee Three

JULIE HETTINGER
TREASURER
BOX 18
MERINO CO 80741

Officer/Director/Trustee Four

RICH ROBIRDS
SECRETARY
554 CALIFORNIA
STERLING CO 80751

Organization’s website NA
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/31/2004
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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 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
Signature Title
Signature Date

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