FORM 1023-EZ for NORMAN YARDLEY CANCER FUND INC

Field Data
EIN 83-2685600
Case Number EO-2018337-000430
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORMAN YARDLEY CANCER FUND INC
Organization’s Mailing Address 100 CENTER AVE
City OAKLEY
State KS
ZIP 67748
Accounting period End 12
Primary contact name MELINDA MOEDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN K GLASSMAN
CHAIRMAN
2849 COUNTY ROAD A
OAKLEY KS 67748

Officer/Director/Trustee Two

PAMELA J KAHLE
DIRECTOR
3011 COUNTY ROAD 340
MONUMENT KS 67747

Officer/Director/Trustee Three

ELAINE M WYCOFF
DIRECTOR
514 COLBY
OAKLEY KS 67748

Officer/Director/Trustee Four

MEGAN E STEPHENSON
DIRECTOR
509 RADLOFF AVE
OAKLEY KS 67748

Officer/Director/Trustee Five

SHAWNA M ALLISON
DIRECTOR
724 E 7TH
OAKLEY KS 67748

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/18
Organization Incorporation State KS
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 SUSAN K GLASSMAN
Signature Title CHAIRMAN
Signature Date 11/30/18

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