FORM 1023-EZ for UGANDA BREAST CANCER PROJECT INC

Field Data
EIN 83-3442961
Case Number EO-2019042-000473
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UGANDA BREAST CANCER PROJECT INC
Organization’s Mailing Address 4216 EVERGREEN LANE SUITE 136
City ANNANDALE
State VA
ZIP 22003
Accounting period End 12
Primary contact name MARK MONACO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK MONACO
DIRECTOR
4216 EVERGREEN LANE SUITE 136
ANNANDALE VA 22003

Officer/Director/Trustee Two

DANA MONACO
DIRECTOR
708 SCRANTON AVENUE
EAST ROCKAWAY NY 11518

Officer/Director/Trustee Three

LEILA KUENZLE
DIRECTOR
6359 BRYN MAWR DRIVE
LOS ANGELES CA 90068

Officer/Director/Trustee Four

MARIA CARPENA
DIRECTOR
9376 HIDDEN SPRING DRIVE
MANASSAS VA 20112

Organization’s website NA
Organization’s email MARKLAW2@VERIZON.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/4/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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 MARK MONACO
Signature Title DIRECTOR
Signature Date 2/9/19

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