FORM 1023-EZ for CANCER COALITION FOR GRENADA

Field Data
EIN 86-3385640
Case Number EO-2021181-000165
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANCER COALITION FOR GRENADA
Organization’s Mailing Address 1598 US HIGHWAY 84
City MULESHOE
State TX
ZIP 79347
Accounting period End 12
Primary contact name GARRISON MYERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARRISON MYERS
PRESIDENT
1598 US HIGHWAY 84
MULSHOE TX 79347

Officer/Director/Trustee Two

RHONDA MYERS
SECRETARY TREASURER
PO BOX 685
MULESHOE TX 79347

Officer/Director/Trustee Three

JORDYN SAL SALAK
VICE PRESIDENT
101 PROSPECTIVE 5N
HACKENSACK NJ 07601

Officer/Director/Trustee Four

CHRISTINE BIEBER
DIRECTOR
111 10 76TH RD APT 2E
FOREST HILL NY 11375

Officer/Director/Trustee Five

BUEAU DUHE DUHE
DIRECTOR
120 MEANDERING WAY
HOUMA LA 70360

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2021
Organization Incorporation State TX
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 Yes
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 GARRISON MYERS
Signature Title PRESIDENT
Signature Date 6/28/2021

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