FORM 1023-EZ for REC KICKIN CANCER INC

Field Data
EIN 47-2087744
Case Number EO-2014294-000057
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REC KICKIN CANCER INC
Organization’s Mailing Address 418 GOFF MOUNTAIN ROAD SUITE 204
City CHARLESTON
State WV
ZIP 25313
Accounting period End 12
Primary contact name MARC J SLOTNICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TINA PEPPER
PRESIDENT
7 DAPPLEWOOD RD
SOUTH CHARLESTON WV 25309

Officer/Director/Trustee Two

SANDY FADAL
VICE PRESIDENT
5372 BENTBROOK DR
CROSS LANES WV 25313

Officer/Director/Trustee Three

SANDY MCGRATH
SECRETARY
113 HOLLYWOOD DR
SCOTT DEPOT WV 25560

Officer/Director/Trustee Four

APRIL MINK
TREASURER
32 DEVONSHIRE DR APT 103
SCOTT DEPOT WV 25560

Officer/Director/Trustee Five

MARC SLOTNICK
ORGANIZER
500 VIRGINIA STREET E STE 600
CHARLESTON WV 25301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/16/2014
Organization Incorporation State WV
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 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 No
One Third Support Gifts Yes
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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