FORM 1023-EZ for MARY BLAZER FUND FOR GE CANCER RESEARCH

Field Data
EIN 46-5560156
Case Number EO-2015089-000235
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARY BLAZER FUND FOR GE CANCER RESEARCH
Organization’s Mailing Address 1382 HAINES AVE
City COLUMBUS
State OH
ZIP 43212
Accounting period End 12
Primary contact name MARLO BLAZER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARLO BLAZER
PRESIDENT
1382 HAINES AVENUE
COLUMBUS OH 43212

Officer/Director/Trustee Two

STEPHANIE BLAZER
TRUSTEE
1382 HAINES AVENUE
COLUMBUS OH 43212

Officer/Director/Trustee Three

CHAR HAWKINS
TRUSTEE
667 SHORE DRIVE
COLUMBUS OH 43229

Organization’s website WWW.MARYSFUND.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code H12 - Fund Raising and/or Fund Distribution
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 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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