FORM 1023-EZ for MASON COUNTY CANCER BENEFIT

Field Data
EIN 83-3542240
Case Number EO-2019284-000325
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MASON COUNTY CANCER BENEFIT
Organization’s Mailing Address PO BOX 1435
City MASON
State TX
ZIP 76856
Accounting period End 12
Primary contact name CONNIE WITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERESA WALKER
PRESIDENT - DIRECTOR
PO BOX 1430
MASON TX 76856

Officer/Director/Trustee Two

BILLY BEARDEN
VICE PRESIDENT - DIRECTOR
PO BOX 424
MASON TX 76856

Officer/Director/Trustee Three

HOPE GOMEZ
SECRETARY - DIRECTOR
PO BOX 814
MASON TX 76856

Officer/Director/Trustee Four

CONNIE WITT
TREASURER - DIRECTOR
354 BIRDSONG CREEK ROAD
MASON TX 76856

Officer/Director/Trustee Five

BONNIE BEAM
DIRECTOR
PO BOX 748
MASON TX 76856

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/08
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 CONNIE WITT
Signature Title TREASURER - DIRECTOR
Signature Date 10/8/19

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