FORM 1023-EZ for THE PUTT AWAY CANCER FOUNDATION

Field Data
EIN 81-4816599
Case Number EO-2017076-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE PUTT AWAY CANCER FOUNDATION
Organization’s Mailing Address 5427 PARK LAKE
City SAN ANTONIO
State TX
ZIP 78244-2011
Accounting period End 12
Primary contact name MARISSA MCKINNIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARISSA MCKINNIES
CHIEF EXECUTIVE OFFICER/FOUNDER
5427 PARK LAKE
SAN ANTONIO TX 78244-2011

Officer/Director/Trustee Two

LINDA BRYANT
BOARD TREASURER
6714 HARBOR FIELDS
CONVERSE TX 78109

Officer/Director/Trustee Three

LEILANI DAVIS
CHAIRPERSON OF THE BOARD
11555 CULEBRA RD LOT 396
SAN ANTONIO TX 78253

Officer/Director/Trustee Four

ELLA MCKINNIES
CHIEF OPERATING OFFICER
5427 PARK LAKE
SAN ANTONIO TX 78244-2011

Officer/Director/Trustee Five

DESHERA FLORES
CHIEF FINANCIAL OFFICER
320 OAK MEADOWS DR
CEDAR HILL TX 75104

Organization’s website WWW.PUTTAWAYCANCER.COM
Organization’s email FORMYSISTER@PUTTAWAYCANCER.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T70 - Fund Raising Organizations That Cross Categories
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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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