FORM 1023-EZ for RALEIGH TESTICULAR CANCER FOUNDATION

Field Data
EIN 85-3414793
Case Number EO-2020297-000370
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RALEIGH TESTICULAR CANCER FOUNDATION
Organization’s Mailing Address 8800-304 AUTUMN WINDS DR
City RALEIGH
State NC
ZIP 27615
Accounting period End 7
Primary contact name MATT CROSS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW CROSS
CHAIR OF BOARD/EXECUTIVE DIRECTOR
8800-304 AUTUMN WINDS DR
RALEIGH NC 27615

Officer/Director/Trustee Two

JAMES STAPLES
TREASURER/BOARD DIRECTOR
5241 MILL DAM RD
WAKE FOREST NC 27587

Officer/Director/Trustee Three

HEATHER PERGUIDI
SECRETARY/BOARD DIRECTOR
12528 BAYLEAF CHURCH RD
RALEIGH NC 27614

Officer/Director/Trustee Four

EDWARD LEVENS
BOARD DIRECTOR
1105 MARGARETS LANE
RALEIGH NC 27614

Officer/Director/Trustee Five

IAN CROSS
BOARD DIRECTOR
8800-304 AUTUMN WINDS DR
RALEIGH NC 27615

Organization’s website
Organization’s email MATTRTCF@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2020
Organization Incorporation State NC
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 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 MATTHEW CROSS
Signature Title CHAIR OF BOARD/EXECUTIVE DIRECTOR
Signature Date 10/20/2020

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